Church/Agency Name:
Church/Agency Address:
Church email:
Church Phone:
Minister's Name:
Minister's email:
Other Personnel
(with position title):
Other Information:
Please check one of the following:
I am currently listed in the Directory. This is a new ministry.
This is a planted church/agency. Our parent church is .
This is a new church. (Please send two letters from churches/ministers who are already listed in the Directory telling us about your church and a copy of your church bulletin to: Directory of the Ministry, 2319 Wiggins Avenue, Springfield, IL 62704.)
