Page 68 | Journey Community Church

Name (Required)

Email Address (Required)

What is your cell phone number?

Are you a widow? (Required)

A widow is any woman who has lost the provision of her husband due to death, divorce, desertion, imprisonment or single mom.

Address

Required if you need food delivery

My Need is:

Food Delivery

Minor home repairs

Auto Repairs

Prayer

Please Call me

Other - Specify in comments

Comments

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Journey Community Church

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