Concord Christian Center Church
       Of Central Texas

Stanley P. & Teresa Harris
        Pastors/Founders

 Request for Pastoral Services:
□ Request to perform Christening
□ Request to perform Wedding
□ Request to Bless Home
□ Other

Date: ______________

Name: _____________________________________________

Address: _____________________________________________________________________________________________

Phone Number: ____________________________________

Comments: ____________________________________________________________________________________________________________.

Please remit requests at least 1 week prior to date that requests are to be rendered.
                Thank you!

                                          “Your Place To BeLieve, To BeLong, To BeLoved”