Please download this form and bring it with you to the Council.

The digital payment form is below the pdf form.

The Monthly Assessment Fee is based on your church membership. 
ALL PAYMENTS SHOULD BE RECEIVED BY THE 30th of each month.

Please make all checks payable to the Georgia State Council. All payments should be mail to 
Minister Lester Gilber
GSC General Treasurer:
PO BOX 6961

MACON, GA 31208

P.A.W. Monthly Assessment Form

*Indicates Required Fields

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Church Name *

Pastor's Name *

Pastor's Email (optional)

Pastor Cell Phone

Church Secretary *

Secretary Email (Optional)

Church Mailing Address *

Address: Line 2

Comment or Message

City *

State *

Zip *

Number of Members *

• 0-40 Members $50.00/month
• 41-100 Members $100.00/month
• 101-300 Members $150.00/month
• 300+Members $300.00/month

Total

$0.00

Please Select Method of Payment *

• Credit/Debit
• PayPal

Single Line Text

Stripe Credit Card *

Card

Name on Card

Comment

Submit