Heritage Church Help Form
If you need help, please complete the form below and someone from our team will contact you soon.
First Name *
Last Name *
Email *
Cell Phone Number
Address (Number and Street) *
Enter number and street (Example: 44625 Schoenherr)
Address (City) *
Address (State) *
Address (Zip Code) *
How many people are quarantined with you? (List the total number of people including yourself on the line below.) *
Do you need a Care Package (kids toys, books, socks & other items based on availability) from Heritage Church? (Currently, we are only able to make deliveries within 7 miles of our Sterling Heights and Imlay City locations.)
Clear selection
Do you need essential home items (food, toiletries, cleaning supplies based on availability) from Heritage Church? (Currently, we are only able to deliver supplies within 7 miles of our Sterling Heights and Imlay City locations.)
Clear selection
Do you have any other specific needs not listed above? Please comment below.
Do you need prayer? Enter your prayer request here.
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