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Benevolence Assistance Form
Financial Assistance from First Covenant Church of Iron Mountain, MI. You will be contacted by our Deacon Board within a couple of days. Please note: Filling out this form does not guarantee funds.
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Today's date
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Name
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Mailing Address
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City
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State
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MI
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Zip Code
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Contact Phone Number
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Secondary Contact Phone Number
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Email Address
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What type of assistance are you seeking?
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What amount of assistance do you need?
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To whom would payment be made? (Name/address/phone number)
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Additional Comments
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