Hurricane Harvey & Irma Needs Form
This form is for Pastors whose churches have been affected by Hurricane Harvey and Irma.
Email address
Title
Your answer
First Name
Your answer
Last Name
Your answer
Phone Number:
Your answer
Email Address?
Your answer
What is the name of your church?
Your answer
What is the address of your church?
Your answer
Who is your Jurisdictional Prelate?
Your answer
Is your church being used as a shelter?
Has your church experienced extensive damage? If so, please explain.
Your answer
What are your immediate needs? Please select all that apply.
Required
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.
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