Harvey Relief

Harvey Relief Donation Form

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Please indicate all areas in which you are able to help.

I am able to provide the following services:

*

Please select all that apply.

Houston Work Trip: Sept 8-10 Tivoli Work Trip: TBA Future Repairs/CleanUp Trips Organizing Supply Donation/Distribution

If you plan to donate items please begin bringing them to Hope Church Sunday services.

I am able to donate:

*

Please select all that apply.

Non-persihable food items First-aid supplies Baby formula/food Diapers Hygeine items/toiletries Cleaning supplies Flashlights & batteries Housewares

Donation to Harvey Relief

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Harvey Relief Donation Form

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