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Multiplying Church Network

Enlistment Form

 

 

* Please fill out this form to get an id & password.

 square30_pink.gif MCN Information

MCN Name (If there is no name yet, type "not yet".)

MCN (State) Convention

MCN Begun

Month Year

How will this MCN help your association/convention accomplish it's church planting strategy/goals?

Who are the main associational and state church planting staff that this MCN will relate to?

Purposes of the MCN

 

 square30_pink.gif Facilitator Information

Facilitator's Name

If the facilitator name is not in the above list, please fill in the following form.

Facilitator's First Name

Facilitator's Last Name

Facilitator's Primary Role

Address (street)

Address (city)

Address (state & country)

State: Country:

Address (zip)

Facilitator's Work Phone #

i.e. (123)456-7890

Facilitator's Cell Phone #

i.e. (123)456-7890

 Facilitator's Email Address

New Facilitator in Training

 

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