Request Support from Congregant to Congregant (C2C)

您的浏览器中未启用 JavaScript，因此无法打开此文件。请启用 JavaScript，然后重新加载。

Beth Am congregants care for each other with loving kindness and compassion. Our members reach out to comfort each other during times of illness and mourning, and we celebrate together in times of joy.

If you are seeking support from our Congregant to Congregant Volunteers, please fill out the information below. If you prefer to speak with someone, please contact the office at 410-523-2446.

First Name *

Last Name *

Address

Phone Number *

Email Address

How would your prefer to be contacted?

Phone

Text

All of the above.

其他:

清除所选内容

Why are you reaching out for support? *

Please elaborate on the reason *

What support would you like to receive from C2C? Click all that apply *

A meal delivered to you (one time).

A meal train set up for you and your family.

A visit from one of our congregants for moral support.

A visit or call from one of our clergy.

其他:

必填

Is there anything else you would like us to know?

提交

清除表单内容

切勿通过 Google 表单提交密码。

此内容不是由 Google 所创建，Google 不对其作任何担保。举报滥用行为 - 服务条款 - 隐私权政策

表单