Church Information

Use this form to let us know when a church's information is incorrect or needs to change. You will be asked on the next page to provide your contact information to help verify the church information change you are submitting.

Current Church Name:(Required)

Previous Church Name (if changed):

Church Meeting Location:

Mailing Address Different from the Street Address?(Required)

Yes

Church Street Address:(Required)

Street Address Address Line 2 City State ZIP Code

Church Mailing Address:(Required)

Street Address Address Line 2 City State ZIP Code

Church Phone Number:(Required)

Church Cell Phone Number:

Church Fax Number:

Church Primary Email:

Church Website:

Pastor:

Your information

Please tell us who you are so we can contact you if we need clarification. We will not use this information for marketing purposes unless you have already given us permission to do so.

Name:(Required)

First Last

Email:(Required)

What church do you attend?(Required)

Address:(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number:(Required)

Cell Phone Number:

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Church Information

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