HPA Directory Listing Change Request Form

HPA Church Directory Listing Change Request

Your Email:

First and Last Name:

Daytime Phone:

What do you want to do?

ABOUT YOUR CHURCH: (Note: For CURRENT listings, please complete ONLY the fields needing correction. For NEW listings, complete ALL the fields which you like to include in your listing.)

Church Name:

Church Street Address:

Address Line Two:

Church City:

Church State:

Church Zip Code

Church Phone:

Toll Free Number:

Church FAX:

Church E-Mail Address:

Pastor's First & Last Name:

Pastor's E-Mail Address:

Add'l Person 1 Full Name:

Add'l Person 1 Position:

Add'l Person 1 E-Mail:

Add'l Person 2 Full Name:

Add'l Person 2 Position:

Add'l Person 2 E-Mail:

Add'l Person 3 Full Name:

Add'l Person 3 Position:

Add'l Person 3 E-Mail:

Additional Comments or Instructions:

Verification Code:
Insert above code here:
	* Required

NOTICE: NO CLUSTER MEETINGS are planned for the months of August or September. Instead, all Area clergy and lay leaders are encouraged to attend the Gathering of the Clergy retreat scheduled for September 10-11.

VERSE OF THE DAY:
Salvation is found in no one else, for there is no other name under heaven given to men by which we must be saved. -- Acts 4:12