Date:
Name (last,first):
Address:
City/ST/Zip:
Phone# (area code+):
FAX# (area code+):
Email Address:
Online Service Name:
Church Name:
Affiliation/Synod/Church Body:
Are you: clergy Lay professional Volunteer
Job Title:
Does your congregation/organization have a committee that
supports the ministry of volunteers? (yes/no)
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