Financial Request – City of Joy Fellowship

Financial Assistance Request

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City State ZIP Code

Are you a member at COJ?

Yes

The total amount of your request?

If this request is accepted, what company or organization should we send a payment to on your behalf?

Are you currently employed?

Yes

Full-time

Part-time

Would you be interested in biblical financial training?

Yes

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Briefly explain your needs and what led you to request assistance. We will be praying for you and providing counseling where needed:(Required)

101 Jackie Joyner-Kersee Circle
East St. Louis, IL 62204

816-974-3445