Godsend Garage Assistance Request
  • This form is to request automotive services from Godsend Garage, a ministry of Crossroads Community Church.
  • We are only able to service guests in the Kokomo vicinity.
  • Only 1 vehicle is allowed per application.
  • PLEASE NOTE: Your application will be denied if it is not completed in full.
Email *
What is your full name? *
What is your address, including city and zip code? *
What is your phone number, including the area code? *
Are you a widow or single mother? *
What are the names and ages of the people in your household, including yourself? *
What is the year, make, and model of your vehicle?
(example: 2013 Ford Explorer)
 *
Describe the problem with your vehicle. *
What happened to you that put you in a position to request help?
 *
Please list the sources and amounts of your household income. *
How did you hear about Godsend Garage? *
How else can we pray for you? *
If accepted, I will be put on a waiting list.
 *
Required
IF ACCEPTED, IT IS MY RESPONSIBILITY TO PAY FOR ANY PARTS USED IN THE REPAIR. (ONLY LABOR IS FREE.) *
Required
Due to the volume of applications and garage capacity, the following conditions apply: 
 - I am not guaranteed to receive service.
 - I release Godsend Garage from any liability.
 - I understand my application will remain on file for 1 year.
 *
Required
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