Strategic Partnership Request
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Association, Church or Network Name
*
Association, Church or Network City
*
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With which NC Baptist Great Commission Catalyst have you communicated regarding this request?
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Dennis Conner
John Gordy
Barry Murry
Luke Lunceford
Caleb Waller
Eric Mullis
Casey Norkett
Steve Harris
Jason Miller
Currie Tilley
Name of Project Leader
*
First Name
Last Name
Title of Project
*
Date of Request
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-
Month
-
Day
Year
Date
How will this request be used to fulfill the great commission?
*
What is the objective of the project?
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Please include specific goals and a brief outline of how you plan to accomplish this goal.
Amount Association, Church or Network Will Contribute
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Total Amount Requested From Convention
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Total Cost of This Project
*
Date Funds are Needed
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-
Month
-
Day
Year
Date
Upon approval of this request, to what name and address should we send the check for funding?
Recipient Association, Church or Network Name
*
Attention:
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First Name
Last Name
Recipient Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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