Church Registration Form

Please fill out this form and we will have a church administrator contact you.

Questions for Church Registration Form

1.

Name of Delegate

The answer should be a text input.
2.

Address

The answer should be a text input.
3.

Street Name

The answer should be a text input.
4.

City

The answer should be a text input.
5.

State

The answer should be a text input.
6.

Country

The answer should be a country.
7.

Zipcode

The answer should be a number input.
8.

E-mail

The answer should be a email input.
9.

Name of Church

The answer should be a text input.
10.

Name of Pastor

The answer should be a text input.
11.

Location of Church

The answer should be a text input.
12.

Title in Ministry

The answer should be a single choice:
  1. Bishop
  2. Overseer
  3. Pastor
  4. District Elder
  5. Elder
  6. Minister
  7. Missionary Evangelist
  8. Others
13.

Auxiliary Department

The answer should be a single choice:
  1. Missionary Department
  2. Young people's Department
  3. Usher National Board
  4. Women's Council
  5. Clergy Wives
  6. Brotherhood Department
  7. Others
14.

Signature

The answer should be a signature.
15.

Date signed

The answer should be a date input.

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