Bless Buncombe Service Registration

Bless Buncombe Service Registration

Thanks For Serving our Community
Please select the Services you are currently offering to help our community.

Food ProductsHygiene ProductsHot MealsShowerBaby ProductsBatteries & Flash LightsLaundry ServiceWaterFree Wi-Fi ServicePet FoodDelivery/TransportationTree Removal ServicePrayer & Grief ShareCounseling ServicesHelicopter Air LiftPlumbing ServiceElectrical ServiceAir-B-& B ServiceLand Where We can Place Tiny HomesATV - Recovery ServiceBus/Van to Take People to VoteWellness Check - ServiceGenerator Loan ProgramChild Care ServiceAfter School Youth MentoringSenior Day - ConnectHome School - Place to MeetSingle-Mom MentoringOther
Are You Ready to Offer These Services Now?

YesNoIn The Near Future
Needs I/We Have
Please Select A Services You and Family Currently Need

Food ProductsHygiene ProductsHot MealsShowerBaby ProductsBatteries & Flash LightsLaundry ServiceWaterFree Wi-Fi ServicePet FoodDelivery/TransportationTree Removal ServicePrayer & Grief ShareCounseling ServicesHelicopter Air LiftPlumbing ServiceElectrical ServiceAir-B-& B ServiceLand Where We can Place Tiny HomesATV - Recovery ServiceBus/Van to Take People to VoteWellness Check - ServiceGenerator Loan ProgramChild Care ServiceAfter School Youth MentoringSenior Day - ConnectHome School - Place to MeetSingle-Mom MentoringCar to Get to workJob AssistanceOther
Are You Currently In Need of These Services Now?

YesNoIn The Near Future
What Days are you open to offer these Services?

MondayFridayTuesdaySaturdayWednesdaySundayThursdayOther
Do you have any special instructions or comments about your services?
Assistance, training, etc.
Are You Currently Accepting New Volunteers?

YesNoIn One WeekIn Two Weeks 4
Your Name (Contact Person)

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name of Your Organization
Organization Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Website:
How Did you Hear about us?
Thanks for serving our community. By submitting this form, you agree to be added to our service link on the Bless Buncombe Website.

You also agree to allow one of our team members to visit your location to take pictures and videos and verify the services being offered.

Thanks for agreeing to serve our community.

May God Bless you and your family.

Paul Benjamin

Bless Buncombe Servant Leader
Should be Empty:

Bless Buncombe Service Registration

Needs I/We Have

Name of Your Organization