Southmoore Baptist Church

Ministry / Group *

Contact Person *

Event Name *

Event Date(s) *

Event Time

Location

Cost

Registration Required

Event Description *

Promotion Needed

Post on Church Facebook Page

Create Facebook Event

Text Message Alert

Email Newsletter

Event / Activity Name *

Event Date *

Requested By *

Description *

All information provided is kept strictly confidential. Requests are reviewed by the Benevolence Committee. Submitting this form does not guarantee assistance will be provided.

Full Name *

Phone Number

Street Address

City

State

Zip Code

Amount Requested

Date Needed

Relationship to Church

Reason for Request *

By signing below, I certify that the information provided is true and accurate to the best of my knowledge. I understand that any assistance provided is a gift from the church and is not a loan.

Signature (type full name) *

Date *

Title / Item *

Requested By *

Date Needed By

Urgency

Details *

Date *

Ministry *

Amount *

Submitted By *

Description *

Receipt Image *

Submit a Request