Urban Church or Ministry Partnership Form

National Urban Ministry Association

Partnership Registration

Thank you for registering your urban church, ministry, or organization with the National Urban Ministry Association. This information will be entered into our national database for collaboration. We want to make the process as easy as possible. You will receive FREE access to our National Database. If you have any questions about registration, please call 1-901-877-8568.
Date

MonthDayYear
Date
Full Name
First Name*
Last Name*
E-mail*
Urban Ministry Title
Address
Street Address*
Address Line 2
City*
State*
Zip Code*
Country*
Cell Phone Number*