Helping Our Neighbors during COVID-19
Please fill out the survey below if you are in need of help during the coronavirus outbreak or have blessings that can be shared with other members of Messiah, as well as members of our community. Thank you!
Name *
Your answer
Email Address
Your answer
Phone Number
Your answer
Best way to contact you? *
Do you need assistance with any of the following?
Can you provide any of the following?
By checking the box below, you are giving Pastor Karl or a volunteer at Messiah permission to get in touch with you ASAP to coordinate this effort. *
Never submit passwords through Google Forms.
This form was created inside of Geben Communication. Report Abuse