Kalos Benevolence

BENEVOLENCE

Please fill in the form below. Note that by filling out this form, Kalos Church does not guarantee a specific amount of benevolence, but the following information serves to help us get to know you and your situation in a greater way. We care about you and will do what we can to help.
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
What is your home church?*
What items (with dollar amount) are you requesting?*
What is the purpose of your request?*
What events have lead to making this request?*
Please select the date you wish to receive financial support by?*

MonthDayYear
Date
Please provide a non-family member reference with phone number?*
By signing, it states all of the above information is true and accurate.

Clear
Should be Empty:

BENEVOLENCE