Helping Hands Ministry, Calvary Temple of Terre Haute
                             2100 North Center Street, Terre Haute, IN 47804

Use this form to request Help for a Job that you need done. i.e. I need tree limbs cleaned up in my yard or I have a plumbing leak.

We request a donation for the services which are Tax deductible.

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
Zip/Postal Code
Home Phone
E-mail

 

Enter the date of Request... :

-- mm/dd/yy

Enter the amount you are willing to Donate for this service:

Amount DESCRIPTION
If you have problems with this form E-mail Form Guy
Copyright © 2006 [Calvary Temple of Terre Haute]. All rights reserved.
Revised: 05/25/06