Call 402-896-5311 if you have any questions filling out this form.

* 1. Congregational ID

* 2. Congregation Name

* 4. Mailing Address

* 5. Meeting Address

* 6. Church Phone

* 7. Email

* 8. Church Web Address

* 9. Council President/Chair

* 10. Council Vice President/Chair

* 11. Church Treasurer

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