NCOM Emergency Benevolence Application

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Please use this application to request assistance during the COVID-19 pandemic. All fields must be completed. Please allow 2-3 days for a response and up to 1 week for product fulfillment. If you have any questions, feel free to send an email to NCOMfinance@gmail.com. May God continue to bless you and your family.

Email *

Are you a member of New Creation Outreach Ministries? *

Yes

Name *

First and last name

Phone number *

How many people are in your household? (Please include adults and children) *

Choose your area of need. *

Food (canned goods and non-perishables)

Supplies (I.e. toilet paper, paper towels, etc.)

Water

Other:

Required

Submit

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