Register a Church Form

Register a Church Form

Information Prepared By (District/Pastor):
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District:(*)
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New Church Launch Date:(*)

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New Church Name:(*)
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New Church Mailing Address:(*)
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City:(*)
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Zip:(*)
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New Church Email:
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Language Preference:
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Meeting Location (if different from mailing address):
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Pastor's First Name:(*)
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Pastor's Last Name:(*)
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Spouse's Name:
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Pastor's Mailing Address:
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Pastor's Home Phone:
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Address:
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Is this church a Parent Affiliated Congregation (PAC)?(*)
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Is this church a Cowboy Church?(*)
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Is this church an Organic Church?(*)
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Church of the Nazarene

USA/Canada Region

17001 Prairie Star Parkway

Lenexa, KS 66220

Phone: 913.577.2830

Toll-free: 800.306.9948

usacanadaregion@nazarene.org
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