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Care Fund Request Form
Email *
What is your name? *
What is your phone number? *
How did you hear about us?  *
What are you requesting money for? *
How much money are you requesting? *
Who would the check be made payable to?  (Cannot be the requestor) *
What is their phone number? *
What is their address? *
When is the bill due? *
In the last 12 months has one of our church care funds assisted you in paying a bill?  (If yes, what was the date of that assistance & what was it for?) *
Do you visit the Point Church care pantry or another care pantry?  *
Which church do you attend? *
Required
Are you a member of that church?
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How many minor children are in the home?  (In some situations our Care Fund may not be able to meet your needs.  However, we have other programs such as Care Portal that may be able to meet the needs) *
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