Hope Chapel - GEMS Contact

CONNECT WITH GEMS

First Name

Last Name

Cell Phone Number

Do you text?

Birthdate

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Date of your husband's passing

Do you live alone?

What are some things you enjoy doing?

What would you like to see in the GEMS' Ministry?

What is your favorite color?

Do you have any immediate needs? If so, please describe.