2026 MISSION SUPPORT STATEMENT OF INTENT

2026 MISSION SUPPORT STATEMENT OF INTENT
In 2026 it is our intention to support God’s work through the Northeastern Pennsylvania Synod and the Evangelical Lutheran Church in America with a contribution of
Name of Congregation
Congregation's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Four-digit synod ID (beginning with numbers 1-9, based on the mission district of which the congregation is a part)
Signature of Congregational Officer:
Email address to receive a copy of the form
example@example.com
Office held
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Note: If the Mission Support figure on this form changes as the result of a

congregational meeting, please contact the synod office with the change. Thank you.
Should be Empty: