FHIA CONTACT FORM
This form is intended to capture your contact information for our FHIA communications and sponsorship distribution. Please note, your sponsorships will be mailed to the address you list below. If you have any questions or concerns, please contact FHIA@tranow.com.
Church Info
Legal Church Name
*
Church Website or Social Media Page
Address (This is where the check will be mailed to. Please make sure it matches your completed W9)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pastor's Info
Pastors Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Health Minister's Info
Health Minister Lead 1
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Health Minister Lead 2
First Name
Last Name
Phone Number
E-mail
example@example.com
If there are other health ministers that you would like included in our FHIA communications, please list their name and contact info below:
Full Name
E-mail
Contact Number
1
2
3
4
I confirm that all of the information provided on this form is correct and will make sure to update the FHIA team whenever there is a change in our contact information.
*
Submit
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