Request for Help

Our church family is here to provide LOVE & CARE for those whose lives have been interrupted by COVID-19. If you are a part of a small group or fellowship here at ECAC, then please start there. If you need further assistance or are not a part of one of those groups, we want to help.

We are offering two types of practical help: RUNNERS and PRAYER PARTNERS

Runners: We will pick up your pre-ordered groceries or prescriptions from your local store and deliver it to your door.
Prayer Partners: We are ready to pray with you through video or phone call, text or WhatsApp.

Please fill out this form to submit a request.

Application Date *

First Name *

Last Name *

Address *

Address

Address Line 1

Address Line 2

City

Province

Postal

Communication Preference *

Phone

Text Message

Phone *

Email *

Why are you asking for a runner's assistance today? *

(e.g. self isolation, elderly, immunocompromised, etc.)

How can we pray for you?

(Fear, anxiety, health, financial set backs etc...) and contact preferences. Time will be arrange with you by your Prayer Partner.

Service Need

Grocery Pick Up

Pharmacy Pick Up

Prayer

Grocery Pick Up

Name of Store *

Order Confirmation Number

Pick Up Date *

Pick Up Time *

Confirmation Email for Pick Up *

Maximum file size: 134.22MB

Pharmacy Pick Up

Name of Pharmacy *

Name on Prescription *

Number of prescription being picked up *

I will call my pharmacy to inform them that a volunteer will be picking it up in my place. (The name to provide will be provided after form submission) *

Yes

Special Requests or Delivery Instructions