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About
Our Beliefs
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News
Calendar
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Contact
Find Help
Contact LBC
Financial Assistance Request
Name
City of Residence
*
Email
*
Phone
*
What church do you usually attend?
*
Are you a member of the church?
*
Yes
No
What kind of assistance are you looking for?
*
Housing
Utilities
Auto Repair
Childcare
Other
Please describe your need in more detail:
*
What other regular financial assistance do you receive?
*
Please provide any other info that you’d like us to know:
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