Contact Information


This form is for presenting information to the Shelter of the Cross indicating your interest in its non-denominational, privately funded transitional home for elderly, homeless men and women.

There are no required fields. Enter only that which you wish to give.

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Name of this form:  
Our e-mail address:  
Please enter the following information about yourself.
Enter Your name:  
Enter your address below.
Street and number:  
City:  
State:  
Zip Code:  
Let us know your phone number and/or e-mail address.
E-mail Address:  
Phone Number:  
Please send me:
    Your Brochure.     Your Newsletter.
    Your Mailings.     Please Contact me.
Do you work in, volunteer for,
or know of a similar organization?
Yes:          No:
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This form is for providing Shelter of the Cross with information regarding similar organizations. If you know of such an organization, please provide us with some information about it.

There are no required fields. Enter only that which you wish to give.

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Name of this form:  
Our e-mail address:  
Please provide the following for the organization.
Organization Name:  
Street and number:  
City:  
State:  
Zip Code:  
Also please provide us with the following:
Phone Number:  
FAX Number:  
E-mail Address:  
Web Site:  
Please provide the following about yourself:
Your Phone Number:  
Your E-mail Address:  
Your Web Site:  
Briefly tell us about the organization
and whom you serve:
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This form is for notifying The Shelter of the Cross of a desire to assist, in some way, its program of aiding the elderly homeless.

There are no required fields. Enter only that which you wish to give.
Close this window when finished viewing.

Name of this form:  
Our e-mail address:  
Please enter the following information about yourself.
Enter Your name:  
Enter your address below.
Street and number:  
City:  
State:  
Zip Code:  
Let us know your phone number and/or e-mail address:
E-mail Address:  
Phone Number:  
How you can help?
    In-kind Donations.     Financial Assistance.
    Professional Services.     Volunteering time.
    Grant Writing/Fund Raising.     Helping us with our Wish List.
    Lending a Hand.     Please Contact me.
Please tell us more about yourself and how you can help.

When you have returned to this page after submitting your form, close this window.