CHURCH OF THE CROSS
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Financial Assistance Request Form
Please fill out the form and submit. If you have any questions regarding the form, please contact the office @ office@cotc-pcusa.org or leave a message @ (847) 885-1199
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Name
*
First
Last
Phone Number
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Email Address
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Address
*
Line 1
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City
State
Zip Code
Country
Current Housing
*
Own House
Rent
Homeless
How did you hear about Church of the Cross?
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Employed?
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Yes
No
Amount needed
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Date needed
*
Check payable to:
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Nature of Request
*
Rent
Auto Insurance
Utilities
Food
Clothing
Gas
Other
If Other, please explain here:
*
Submit
Home
About Us
Are you Searching?
Sunday Schedule
Update from Session
Annual Reports
Contact Us
Staff & Ministry Leaders
Media
Sermons & Bulletins
Facebook, Instagram & Newsletter
Photos
Revised Daily Lectionary
Sign-Ups & Events
Donate
Financial Assistance
