First Alliance Church
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Internal Benevolence Request

Our benevolence fund is intended to be a one-time gift for First Alliance Church members, regular attenders, or affiliate partners of FAC experiencing a financial crisis. To be considered, please complete this form entirely. An incomplete form may result in a delay of your request being considered with the benevolence committee. You may be asked to meet in person with a benevolence committee member to further discuss your situation. There is no guarantee of assistance or payment. Must be 18 years of age to complete.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Personal Information

Name*
Address*
MM slash DD slash YYYY

Membership Information

Do you currently attend FAC?*
Are you a member of FAC?*

Benevolence Request Information

What type of bill do you need assistance with?*

Is this the total amount due?*
MM slash DD slash YYYY
Have you received a cutoff or eviction notice?*
Name on the Account*
Must be a third-party payee
Send Payment To*
Must be a third-party payee
Consent to Share Information*
The information provided on this form will be shared with a committee to determine your need.
Consent to Provide Photo ID*
If you are not an active member or known regular attender at FAC, you will be asked to provide a photo ID before funds can be disbursed.
Consent to Provide Invoice or Receipt*
If your request is approved, you will be asked to provide an invoice or receipt of payment.

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Sunday Services

Main Services
8:15, 9:30, 11:00, and 12:30

Next Gen Services
8:15am – Birth through kindergarten
9:30am – All ages
11:00am – Birth through 8th grade
12:30pm – No Next Gen services

Location

2201 Old Higbee Mill Road
Lexington, KY 40514
(859) 223-1394
(859) 224-0949 – fax
Email the church office

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© First Alliance Church