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naccc 2009-10 yearbook - church data membership information form

naccc 2009-10 yearbook - church data membership information form

naccc 2009-10 yearbook - church data membership information

NACCC 2009-10 YEARBOOK - CHURCH DATA MEMBERSHIP INFORMATION FORM (Please print or type) Church Name ___________________________________________________________ City Location ____________________________________________ Street Address _______________________________________________________________________________________________ Mailing Address ______________________________________________________________________________________________ City ___________________________________________________ State __________________ Zip __________________________ Phone (________)_______________________________________ FAX (________) _______________________________________ E-mail ______________________________________ Web site (URL) ___________________________________________________ Year Church Gathered _______________ Fiscal Year Beginning Month _____________________ Total Active Members ________ Weekly Average Worship Attendance ________ Weekly Children’s Education Attendance _______ Weekly Youth Group Attendance _________ Weekly Adult Education Attendance _________ Non-NACCC Donations __________________ Operating Expenses _______________________ Member of which State or Regional Association ____________________________ List church’s other denominational membership ___________________ Person completing this form _______________________________________ Daytime Phone (________)_______________________________________ All names provided on this form will be kept confidential within the NACCC. Please visit www.naccc.org/member_church/forms.htm for additional forms. MAIL TO: NACCC, PO BOX 288, OAK CREEK, WI 53154-0288 PHONE: 800.262.1620 FAX: 414.764.0319 E-MAIL: Gary Socha at gsocha@naccc.org ⇒ Please complete back side

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