New Church Registration

Year: ___________

Church Name: _________________________________________________________________

Mailing Address: _______________________________________________________________

Meeting site Address:  ___________________________________________________________

Phone: _______________________            Email: _________________________

Fax: ____________________Website: _____________________________

Sponsoring Church/Association: __________________________________

Pastor’s Name: ________________________________________________________________

Address: ______________________________________________________________________

Home Phone: ________________   Cell Phone: _______________ Email: _________________

___ Full-time                                          ___Bi-Vocational       

Ordination Date: ____________                                    Birthdate ______________

Ethnicity: (circle one)                 Caucasian         African American            Hispanic          Asian

                                                Other: __________________

Language preference: _____________________________

Date launched __________                Number of people in group ___________

Church Officers

Name                          Address                                                                Phone         Email  

______________________________________________________________________________

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