Benevolence Request Form Date:_____________ Name of Person(s) Requesting: __________________________________ Current Address: ______________________________________________ City: ______________________ State: _______ Zip Code: __________ Current Phone/Contact Person: __________________________________ Type of Need Requested: Reason for Request: ***My signature guarantees the information provided above is accurate and true. I also understand that benevolence from this church is a one-time gift and cannot for another request for a period of _____ months. ***All requests must have photo ID. _________________________________ ________________ Signature of Person/Persons Requesting Date Services Provided? _________ If not provided, reason for declining: ________________________________________ Copyright © 2015 Pastoral Care Inc. All Rights Reserved. All material is intended for individual use only. Any other use, such as distribution, promoting one's ministry or adding to websites, is prohibited unless written permission granted by Pastoral Care Inc.
Benevolence Request Form Date:_____________ Name of Person(s) Requesting: __________________________________ Current Address: ______________________________________________ City: ______________________ State: _______ Zip Code: __________ Current Phone/Contact Person: __________________________________ Type of Need Requested: Reason for Request: ***My signature guarantees the information provided above is accurate and true. I also understand that benevolence from this church is a one-time gift and cannot for another request for a period of _____ months. ***All requests must have photo ID. _________________________________ ________________ Signature of Person/Persons Requesting Date Services Provided? _________ If not provided, reason for declining: ________________________________________ Copyright © 2015 Pastoral Care Inc. All Rights Reserved. All material is intended for individual use only. Any other use, such as distribution, promoting one's ministry or adding to websites, is prohibited unless written permission granted by Pastoral Care Inc.
Benevolence+Request+Form.docx