Restoring Room: Restoring the mind, body, and soul.

Name

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Phone

Address

Are you a member?

Are you experiencing any of the following?

Depression Anxiety Grief Mania/Psychosis Domestic Violence

Are you interested in ongoing support?

If you are interested in ongoing support or prayer, please indicate the best time to contact you.

Come, let us return to the Lord. He has torn us to pieces but he will heal us; he has injured us but he will bind up our wounds.

Hosea 6:1

If you are unable to schedule your private meeting for on going support, we also have virtual sessions via Facebook every 4th Saturday of the month at 2:00pm. Please follow Hill City Church LA on Facebook for further details.

This is a free event, however, if you would like to donate to this event to sponsor more events like these, then you can do so below.

Donation

I authorize Hill City Church Inc to charge my credit card indicated above for the afore mentioned amount on the date selected above each month as a donation to Hill City Church Inc.I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Hill City Church in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. Notifications can be sent via e-mail to hillcitychurchla@gmail.com or be mailed to Hill City Church Inc C/O Finance Department 550 W. Manville st. Compton, CA 90220. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that Hill City Church Inc may at its discretion attempt to process the charge again within 30 days, and agree to any additional charges for each attempt returned NSF from my banking institution. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form.

I Agree I Do not Agree

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Restoring Room: Restoring the mind, body, and soul.

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