Society of St Vincent de Paul St Mary/Christ the Teacher
Request for assistance contact.
First Name *
Last Name *
Street Address *
City *
State *
Phone Number *
Email address?
What is the best time of day to call you back between? *
May we text your phone? *
*By submitting this request you are confirming the following RELEASE OF INFORMATION. I HEREBY AUTHORIZE REPRESENTATIVES OF THE Society of St. Vincent de Paul St Mary/Christ the Teacher (SVdP) to contact me concerning my situation within the next 48 hours and the phone number I have provided can accept private numbers. I further understand that the release of this information does not guarantee that assistance will be provided.
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This form was created inside of Society of St. Vincent de Paul - St. Catherine of Siena Conference.