Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name of Church *Date: *Please Select Region *FEBRUARYJUNEPastor's Name *Pastor's EmailChurch Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIS CHURCH MAILING ADDRESS SAME AS ABOVE? *YESNOChurch Mailing AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSuperintendent's Name *Superintendent's Email *Report Completed By *Completed By Email *Registration Amount *Your Church Report should be based on the number of registered members for your local church times $2.00. If you do not know this information, please consult your Pastor, church Secretary, or church Administrator. Other Offering for the GSC CED Auxiliary Would you like to give a $10.00 Church ReportYesNoGSC Superintendent Love Offering - $25.00 YesNoTotal$0.00Please Select Method of Payment *Credit/DebitPayPalStripe Credit Card *CardName on CardEmailSubmit
