WMS Assistance Request Form
Bethel A.M.E. Church - Saginaw, MI
Name of Person / Organization Requesting Services:
First Name
Last Name
Organization (if applicable)
Cell Phone Number
Email
Reason
Description of Assistance Needed
Priority Level (please choose one)
High
Medium
Low
Persons will be contacted within 48 hours from submission.
We Respect Your Privacy
, please know your request
will be handled with confidentiality and care.
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