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Lake Houston Church
Need Help?
Name of Person(s) needing help:
*
Phone:
*
E-mail:
Best way to contact person(s) needing help:
*
Call
Text
E-mail
Point of Contact Name (if different from above):
Point of Contact Phone (if different):
Point of Contact e-mail ( if different):
Best way to contact Point of Contact(if different):
Call
Text
E-mail
Address of physical location where help is being requested (if applicable):
Nature of Help needed:
Harvey Work Crew
Harvey Work Crew
Prepared Meal
Prepared Meal
Prayer
Prayer
Other
Other
If there is a deadline, please specify below:
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Additional information or special circumstances we should be aware of:
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