Request for Visit - Winnipeg South
Please make us aware of your need by filling in the form below. You may also call Pastor Steve at the church office at 204-261-0070 (Monday-Friday).
I am requesting
*
Visit in my home
Visit in hospital or care facility
Phone call only
Area of City
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Details
We will contact you to arrange the visit after receiving your request.
Submit
Should be Empty: