I Want to Help Others During this COVID-19 Situation
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
WAYS TO SERVE
Please check all the ways that you would be willing to help with:
Please select all that apply.
Picking up groceries, prescriptions, and running necessary errands
Providing necessary childcare to parents who have no other option
Using your experience and expertise in the medical field to help our church make research-based decisions during this time
Providing necessary transportation for those in need
Other (specify below)
DONATION TO DEACON FUND
If you would like to make a donation to the deacon fund which will be used to financially support vulnerable and needy families in our community, you can do so here.
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following