First Alliance Church
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Internal Benevolence Request

Please complete this form entirely. An incomplete form could result in a delay of your request. Must be 18 years of age to complete.

"*" indicates required fields

Personal Information

Name*
Address*
Are you a member of FAC?*

Specific Request

What type of bill do you need assistance with?*

Is this the total amount due?*
Have you received a cutoff or eviction notice?*
Name on the Account*
Send Payment To*
Consent*
This field is for validation purposes and should be left unchanged.

Links

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Sunday Services

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

Next Gen Services
9:30am – All ages
11:00am – Birth through 4th grade

Location

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

© First Alliance Church