St Stephen Baptist Church - MD - MERCY House Contact Form

MERCY House Assistance Request Form

Thank you for reaching out to the MERCY House. Please fill out the form as completely as possible so that we can best assist you. Before submitting the form, please check our website for referrals and other resources.

If you have a food insecurity, please visit St. Stephen Baptist Church on Tuesdays from 11AM-3PM for our free drive-thru food giveaway.

First Name

Last Name

Email

Please submit an email address so that we can forward along any referral info.

Phone Number

Who or what organization referred you to the MERCY House?

How can we assist you?

Please provide any additional details of your need.

If you need prayer, please submit a prayer request form here.

Have you reached out to SSBC or MERCY House before? If so, how were we able to support you?

MERCY House Assistance Request Form

St. Stephen Baptist Church

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