SSVP - Assistance Request Form

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Please fill out the following form and one of our volunteers will contact you.
If you have already called our hotline, please do NOT fill out this form. You already have a place on our list.

Please provide your contact info

email address

First Name *

Last Name *

Street Address *

City *

Edmonton

St.Albert

Sherwood Park / Fort Saskatchewan

Leduc / Beaumont

Red Deer

Vegreville

Phone number - please use XXX-XXX-XXXX *

How can we assist you? *

Thank You for contacting Saint Vincent de Paul.

The Society of Saint Vincent de Paul respects the privacy of clients, volunteers and donors and maintains your personal and financial information as confidential.

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This form was created inside of Society of Saint Vincent de Paul.