What is the Name of Your Church?

What is the Physical Address of your Church?

What is the Mailing Address of your Church?

Church Website?

Church Email Address?

What Year was your Church Organized?

Please List Representatives on Associational Executive Committee:
(One member, the pastor and for every 100 members or fraction thereof a church may appoint an additional member up to a total of 10)

Name:                                      Address:                                                                                          Phone:

Messengers to Annual Meeting:
(Each church shall be entitled to five messengers and one additional messenger for each 50 members over 100 until a maximum of 10 is reached.)

Name:                                      Address:                                                                                         Phone:

Missions Operated by the Church?

Ministers Licensed During the Year:

Ministers Ordained During the Year:

Other Ordained Ministers in Your Church:
(This includes retired pastors, denominational employees, etc. do not list pastors (salaried or volunteer) listed in a staff position for your church.

Historical Events of Interest During Associational Year: (New Buildings, Dedications, New Ministries Started, Etc.)