Care Ministry Name * First Name Last Name Email * Phone * (###) ### #### Are you a member of Bethel? * Yes No Are you the person in need of care? * Select Yes No If no, please enter the name of the person in need of care? First Name Last Name Relationship to Person Please select care needed: * *Rent and utilities assistance is for Bethel Temple members-only and is subject to approval. Hospital Visit Death in the Family Deployed or Deployed Family Member Benevolence (food assistance or rent/utilities assistance) Other Message: Thank you!
