COVID-19 Church Relief Fund Request Name of Church * RequiredName of requestor * Required First Last Phone * RequiredChurch address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email * Required Pastor's Name * Required First Last Church Clerk, Treasurer, or Elder’s Name * Required First Last *Must be endorsed by two persons; Pastor and church clerk, treasurer or elder. *Check will be made out to the Church not an individual.