Church Name__________________________________________________________________________

City____________________ Church Phone__________________ Fax____________________________

Church Address ________________________________________________________________________

Web-site address_______________________________ e-mail___________________________________

Pastor and companion names ______________________________________________________________

Home phone _______________ e-mail_________________ cell phone (if desired)___________________

How long in the ministry? _____________

How long at current Church? ____________________

What is your vision for your Church? _______________________________________________________

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Any other info that you feel is of interest:____________________________________________________

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Service Times:________________________________________________________________________
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Annual Events _________________________________________________________________________

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Upcoming Events for 2003 _______________________________________________________________
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Please give a brief description of your Church history.

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