ENC Interfaith Clergy & First Fruit Farm Garden Form

ENC Interfaith Clergy & First Fruit Farm Garden Form
Date

MonthDayYear
Date
Pastor Name

First NameLast Name
Pastor Cellphone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Church Name
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Contact Person
Church Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Church Email
example@example.com
Church Congregation Size
Do You Land to Plant Garden
Do Your Church have Food Pantry
Do You have a team of Volunteer
Should be Empty: