I WANT TO HELP
Thank you for offering to help someone.  Please complete this form to let us know what you could do.
登录 Google 即可保存进度。了解详情
YOUR CONTACT DETAILS
First Name *
Last Name *
Mobile number *
Email address *
WHAT HELP CAN YOU OFFER?
At the moment we would like to offer the following help:

Phone calls / texts:
(Calling or texting people to check they're ok - and possibly calling on a regular basis if they're feeling alone or isolated).

Driving/deliveries/errands:
(Shopping and/or Picking up and delivering things to someone in the Hutt Valley who is self-isolating).

Praying:
(Becoming a member of the prayer team who will be supplied with prayer requests from the community).

Donating:
(Making a special donation to help at this time).
 
Please donate by making a deposit into the following account - using references of your name and 'help'
Account Name: LifeSwitch Community Trust Inc
Account Number: 06-0545-0014111-26
Thanks.

Please indicate below, how you can help...

Phone calls / text *
Driving/Deliveries/Errands *
Praying *
Donating *
Anything else you'd like us to know...
提交
清除表单内容
切勿通过 Google 表单提交密码。
此表单是在 LifeSwitch 内部创建的。 举报滥用行为