Service request form

Submit a service request.
This form will ask you things like where this persone lives, and what the need is.


Please complete as much of the form below as posible

Phone *
Best day to call
Your Address
Your church
Currently Attending a Church *
If no, please select from one of our partnered Churches below to appropriately advocate for you.
The name of one of you're pastors.

Here is a list of Our partnered Churches.
If you do not already belong to a church you can pick one of these to appropriately advocate for you.


North Point Community Church

Address: 2224 Fletcher Ave, Lincoln, NE 68521
Phone: (402) 467-1515

Heartland Bible Church

Address: 2611 S 56th St, Lincoln, NE 68506
Phone: (402) 489-2600

First Free Church

Address: 3280 S. 84th St. / Lincoln, NE 68506
Phone: (402) 483-7635

Promis Land Worship Center

Address: 8019 N 31st St, Omaha, Nebraska 68112
Phone: (402) 689-4407

Bethel Baptist Church

Address: 1401 S 77th St,  Lincoln, NE 68506, USA
Phone: (402) 489-7692