Form to Update Church Contacts

This is a form to collect church contact information ...

Church Name

Select your church's name from the list...

Name

Please enter name of person whose information you are updating or who has taken on a new role at the church. Please give as much information as possible.

First Name

Last Name

Position at Church

Please select from among these positions

Full-time status

If in a ministerial role, is this person full-time (30 hours or more per week) or part-time (paid or unpaid)?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone number

(###)

###

####

Additional Information

Please use this spot to report additional information -- has any of the church's or pastor's contact information changed??