Hurricane Harvey & Irma Needs Form
This form is for Pastors whose churches have been affected by Hurricane Harvey and Irma.
What is the name of your church?
What is the address of your church?
Who is your Jurisdictional Prelate?
Is your church being used as a shelter?
Has your church experienced extensive damage? If so, please explain.
What are your immediate needs? Please select all that apply.
Is your home or church insured?
what is the deductible on church?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This form was created inside of Church Of God In Christ Inc..
Terms of Service