Church Form

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Please provide the following Church information for the listing:

Name of Church:
Pastor(s) Names:
Church Address:
Address (cont.):
City:
State:
Zip Code:
 Church Phone:
Second Phone:
E-mail:
Web Site/URL: if you have one.

Church Description/Services

(30 Words or Less):

Additional Contact Name:
Would You Like an Informational Page?

You will be contacted if you choose to have an informational page. 


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Revised: June 09, 2003