Do you, or do you know someone who is in need of aid?Please complete the form below so we can effectively meet your needsFull NameFirst NameLast NameThis person isMyselfSpouseParentNeighborPlease supply contact information for the person in need.E-mail*Phone Number*Area CodePhone NumberWhat type of help is needed?*Welfare CheckErrandsFoodCommentsSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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