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Church Info
Thank you for helping us stay current on your Club and Address information. Click the "submit" button at the bottom to complete this form. If you are sending in a payment, please print this page and mail it with your check to the address provided below.
Date
Church Name
Address
City
Zip
Church Number
Section
Senior Pastor
If you are not an Assembly of God church, please check the box below. A payment of $3.00 per club will need to be sent with a copy of this form to the District Office address below. (For non-a/g churches only.)
Denomination
Assemblies
Non-Denominational
Other
Coordinator
Please list the current Girls Ministry Coordinator who will receive correspondence for your church.
Correspondence mailed to:
Send all GM mail to the church
Send all GM mail to my address below
Coordinator's Name
Address
City
State
Zip
Home Number
Cell Phone
Email
Club Info
Please select what Clubs/Teen Girl Ministries you have:
Clubs
Sunshine Kids
Rainbows
Daisies
Prims
Stars
Friends
Girls Only
Comments
Special Comments