Encouraging Love Form

Encouraging Love Form

If you would like to submit someone’s name and address to the Encouraging Love Group, please use the below confidential form below.  Please provide us with their name, address, and what they might be going through…if anything.

    Please give us some information about you:

    Your Name (Optional)

    Your Phone Number - No Spaces (Optional)

    Your Email (Optional)

    Enter the contact information below for us to Encourage:

    Encouragement Contact Name (Required)

    Encouragement Address(Required)

    Encouragement Phone - No Spaces(Optional)

    How should we encourage them? or what are they dealing with?(Required)

    Additional Information

    Please Type the letters/numbers below exactly as they appear.


    Please note:  The information you provide will be kept confidential within the Encouraging Love Group Ministry.