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Every Believer a Witness Pastor Led Form
Church Information
Church
*
Average Sunday AM Attendance (excluding childcare)
*
Church Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
The shipping address is different.
Shipping Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Church Phone
*
Church Fax
Leader Information
Name
*
Mobile Phone
*
Email
*
The senior pastor is not the main point of contact.
Main Point of Contact
Name
*
Position
*
Phone
*
Email
*
Additional Information
Church's Denomination
Preferred Bible Version
*
NIV
KJV
Workbooks (1 per attendee)
Every Believer a Witness ($7.00)
Quantity
Total
$0.00
Sunday Morning Service Time(s)
*
Anticipated Start Date
*
MM slash DD slash YYYY
The Formal Stuff
*
In signing this, we acknowledge that we have read and agree to the
Agreement Particulars
.
Signature
*
Date
*
MM slash DD slash YYYY
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Email
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