Arkansas District PCG
Church Information Request Form for Pastors/Churches
Just Select, Copy, and Paste to a word processing program (Word, Word Perfect, Notepad, etc.)
This information will be published on our district website www.arkansaspcg.org
Either E-mail to dvpate2@windstream.net or
mail to David Pate, 27 Cadron Dr., Greenbrier, AR 72058
Thanks and God Bless
NOTE: If your church has a website, Then all I need is the link to add to our page .
PLEASE PRINT CLEARLY
Church Name __________________________________________________________________
Church Address________________________________________________________________
Church Phone ______________________ Web-site address _____________________________
E-mail ________________________
Pastor and companion names ______________________________________________________
Home/Cell phone (if you want this published) ____________________
How long in the ministry? __________ How long at current Church?_________________________
Previous Churches _______________________________________________________________
What is your vision for your Church? _________________________________________________
______________________________________________________________________________
Any other info that you feel is of interest: ______________________________________________
______________________________________________________________________________
Service Times: ___________________________________________________________________
Annual Events ___________________________________________________________________
_______________________________________________________________________________
Upcoming Events _________________________________________________________________
_______________________________________________________________________________
Please give a brief description of your Church history.
(such as Founding year, Previous Pastors...whatever you know) Use back if needed