City of Hope Community Church - 11228

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Are You A Member Of The City of Hope Community Church?
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I Give My Permission To Have The Appropriate Church Personnel Validate Any Of The Aforementioned Information
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Todays Date:

Please Attach A Copy Of The Bill Or Lease In Which You Are Seeking Assistance & Email It To info@cohindy.org

Please Scan And Email A Copy Of Your Drivers Licensed & Email To info@cohindy.org

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Signature: When Typing Your Name Below Please Start Off With /s/ To Solidify That This Is An Electronic Signature

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