Contribution Statement Request Form
Greetings! 
Please complete this form below with all requested information. Statements will be released here shortly. 

Thank you!
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Email *
Please enter your FIRST name. *
Please enter your LAST name. *
Please enter your CASHAPP name. *
Please enter your primary phone number. *
Please enter your full mailing address. *
Please provide any additional questions or comments you may have regarding your statement.
Questions can also be emailed directly at info@harvestchurchva.org
A copy of your responses will be emailed to the address you provided.
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