Victory Church

Military Support Ministry Response Form

Please enter the following information regarding the person serving on active military duty.

Any fields may be left blank if desired.

Name

Branch of Service  Army  Marines  Navy  Air Force  Coast Guard  Other*

*If "other is selected, please enter appropriate information in the comments box below.

General Location (if available) 

Address  

City    State   Zip

Telephone  

Email

Options:

Please post this email address on the church Prayer Posting Board.

Please post this email address on the Military Support web page.

Please select one:

I am the person listed above

I am entering this information as a friend or family member

If you are not the person listed above, please fill out this section.

Name 

Phone 

Email 

If you have questions or comments, please enter them here:

Privacy Notice:  Victory Church does not share email addresses or other personal information with parties outside of the church.