resource request form | The Temple of Dionysus

Name

Pronouns

Your email*

What kind of resource do you need?*

Food

Clothing

Housing

Legal

Medical

Transportation

Education

Other (please specify)

How urgent is your need?

Very urgent (within 24 hours)

Urgent (within a week)

Not urgent (within a month or more)

Are you local to the Southern New England Chapter? If not- approximately where are you located?

PayPal.me

Would you like us to make a prayer or an offering on your behalf?

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