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Nehemiah Work Request Form
Nehemiah Work Request Form
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First Name *
Last Name
Street Address *
City, State Zip *
Phone Number *
Email Address *
Best Contact Method: *
Are you a member of the First Baptist Church of Odessa? *
Description of Work *
Do you need financial help purchasing material for this project? *
If yes, please explain
Do you own the property you are requesting help for? *
Do you have a current Homeowner's Insurance Policy? (If approved, homeowner will need to provide proof of insurance) *
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