Care Request Form
We know that many are hurting and scared during this time so, we hope to bring life, joy and community to those around us by meeting the needs of our neighbors. We ask that requests be limited to groceries, medication pick up, or other small, essential errands that would require you to venture into a public facility. Church 54 reserves the right to deny any request that falls outside of reasonable scope.
Email address *
Name *
Address *
Phone number *
Special Notes
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This form was created inside of CHURCH 54. Report Abuse