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Congregational Care Request

Let us know how we can help you with your care need.

Your name *

Last name

Email address *

Phone number *

Phone type

Address *

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Preferred contact method *

Type of care needed *

Message *

Please indicate how our congregational care coordinator may assist you.

A copy of your responses will be sent to your email address.

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River Oaks Community Church
help@riveroakschurch.org
336.766.0033

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