Monthly Allotment Release Form

Monthly Allotment Release Form
IMPORTANT!

This form must be completed by the 10th of each month or you may be subject to losing your funding.

NOTE: All fields with a red asterisk must be completed or the form will not Send.
Date

MonthDayYear
Date
Church Name*
Pastor's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
What Region Are You In?*
Total number of Services this past month?*
Average church attendance Sunday?*
Average church attendance mid-week?*
What are your total monthly fixed expenses? *
Total church tithes & offerings received this month?*
Did you attend the live IT MATTERS session this month or view the archived video?*
What topic would you like to see discussed on an It Matters session?
Did you communicate with your District/Regional MA Director?*
Are there any resources that you need at this time?*
Give a brief summary of this past month's services, outreach events, baptisms, Holy Ghost, and discipleship. We want to share your story to encourage support!*
Should be Empty: