Request for Assistance
Please fill out this form if you are in need of assistance of some kind and a member of our team will contact you!
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First Name *
Last Name *
Email Address *
Phone Number
Street
City
State
Postal Code
Postal Code
Need Description
All responses will be kept confidential (except where required by law such as intent to harm yourself)
Please describe your need in detail, and the reason behind the need. *
List any other resources, agencies, nonprofits, or churches you have contacted. *
Please check the box that best describes your relationship with North Ridge Church *
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