Update Current Information for Directory

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If you are currently in the 2012 Directory of the Ministry and need to change the information, please fill out the following form.  If you wish to be added to the Directory, please click here.

Please send copy(ies) of the 2012 Edition

       (available now):

Please send copy(ies) of the 2013 Edition

       (available now):

  
         Paperback Binding ($28.00)          Paperback Binding ($28.00)         
         Punched for Multi-ring Binder ($31.00)          Punched for Multi-ring Binder ($31.00)         
         In Multi-ring Binder ($40.00)          In Multi-ring Binder ($40.00)      
     
Total for 2012 order:  $ Total for 2013 order:  $  
     

Current Information:

 

    

Code from address label on form

           (5 numbers + 2 letters):

 

Email to respond to with questions about this form:

                            

   
Church/Agency Name (required field):    
Street Address:    
Mailing Address:    
City (required field):     
State (required field):     Zip Code:    
Church Phone:    
Parsonage Phone:    
Fax:    
Church email:    
Website:    
Membership:     

Times of Services

($3.00 fee for 4 services):

   
Minister:    
Minister email:    
Other Personnel (with titles):     
Other Information:    

 

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