New CBC Church Information Form

This form is to be used for new churches that have been accepted into the Covenant Brethren Church

Submitter Name (required) *

Submitter Email (required) *

Church Name (required) *

Church Pysical Address - Street (required) *

City (required) *

State (required) *

Zipcode (required) *

Country (required) *

Is the church mailing address different from the physical address?

Yes

Church Mailing Address - Street

City

State

Zipcode

Country

Church Region (if known)

Church Pastor(s)

Church Service Time(s)

Church Email

Church Phone

Church Website (URL)

Church Facebook (URL)

Church Instragram (URL)

Upload Picture of Church (high resolution)

Upload Picture of Church Sign (high resolution)

Additional Information

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If you have any questions or issues submitting this form, please contact the office.