What would you like to know more about?

2. Contact Information

The person provides contact information or log in.
  1. If the person logs in and the information is known, the First, Last, Email, and Phone automatically update. Otherwise, they can enter this information.
  2. If requesting help, enter the Postal Code.
  3. Click the check box to acknowledge: I understand that by requesting help, my contact information will be shared with the provider assigned by the church to be used exclusively for helping me with this need.
  4. Click Submit.