Submit Prayer Request Dev

Your details are strictly confidential and will never be revealed without your prior consent.
In the tradition of King Solomon, all prayers will be addressed to God only and not to any particular name of God.

* required
* required
Gender:
* required
* required
* required
First name of person being prayed for:
* required
Last name of person being prayed for:
* required
Gender of the person being prayed for:
* required
What is your prayer request?
* required
Details about the person prayed for:
Amount: (Tax-Deductible)
* required
Description of Prayers
Total: (Tax-Deductible)
* required
Tell us what best describes you:
* required
Form of payment:
* required

Credit Card (Secure Service). *Prayers generally start within a week.

Check will be mailed. *Prayers generally start approx 3 weeks from the date of mailing from the US or Canada (see address below).

Name on the Card:
* required
Type of Credit Card:
* required
Credit Card Number:
* required
Credit Card Expiration Month:
* required
Credit Card Expiration Year:
* required
Last 3 digits on the back of the Card:
* required
Last 4 if your Card is American Express:
* required
* required
How did you find out about us?
* required

Other:

When is your birthday? (yyyy-mm-dd) :
Would you like us to ask others to pray for you by including your prayer request in our newsletter?:
Terms and Conditions
* required
Wailing Wall Prayers reserves the right to adjust and/or refuse certain prayers based on moral grounds. In a case where prayers are refused, a full refund will be made.
I AGREE

Checks to be mailed in AmericaChecks to be mailed in Israel
Should be made out to:Should be made out to:
American Friends of Kollel Tefillat MosheAmerican Friends of Kollel Tefillat Moshe
and mailed to:and mailed to:
American Friends of Kollel Tefillat Moshe
116 South 4th Avenue Highland Park
NJ
08904-2623		American Friends of Kollel Tefillat Moshe
C/O Shira Piha
56/14 Nachal Dolev
Beit Shemesh 99621
Israel

When your form is submitted, you will receive a confirmation email. If you do not receive this confirmation, please contact info@wailingwallprayer.org. Thank you!

Enter the code:



To Top