COVID Relief Assistance
Through the generosity of the West Church faith community, Mooresville, NC, we are offering to help with a bill unto the amount of $150. It's our hope that you feel the love of Christ during this difficult time. We do not give money to individuals. We will write checks 1x a week to a business of your need.
Email address *
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
Company Name (to pay) *
Your answer
Amount Requested *
Your answer
Any Additional Information?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of West UMC. Report Abuse