How can we help you?

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How can we help you?

Please let us know what you need or how we can be of assistance during a challenging time.

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First and Last Name *

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Home Address *

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Phone Number *

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Email Address *

Your answer

What are your needs?

Column 1

I need a delivery of groceries/urgent supplies.

I would appreciate an encouraging phone call or text.

I would appreciate prayer.

Column 1

I need a delivery of groceries/urgent supplies.

I would appreciate an encouraging phone call or text.

I would appreciate prayer.

Other needs not listed

Your answer

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