Benevolence Request
Please fill out this form and click submit.
Personal Information
Name of Benevolence Recipient
*
Helpful details about the individual requesting the funds:
*
Email
*
This address will receive a confirmation email
Phone
*
Financial Information
Purpose of Funds
*
Amount Requested
*
Date of Request
*
Deacons Approval
Amount Approved
How should the benevolence recipient receive the funds?
Please select one option.
Zelle
Hand Delivered Check
Mailed Check (if you select this option please provide mailing address)
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Signature of Approval
Date
Notes:
Bookkeeper
Date Processed
Submit
Description
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