Financial Help - Harrisburg Christian Church • Harrisburg, MO

Harrisburg Christian Church Financial Help Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Contact Phone Number:(Required)

Contact Email:(Required)

Have you had a recent loss of income or unexpected expenses? Explain:(Required)

What other financial assistance have you sought or applied for? Explain:(Required)

Are you a member of a local church?(Required)

What are some specific needs or bills that we can help with? Please be specific.(Required)

Name

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