Pastor Champions Application

Your Name

First Name

Last Name

Church Name

Your position in church

Your Email

Church General Email

Preferred Cell Number

Church Website Address

Facebook Address

Your Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Church Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How you heard about Food for Orphans

Estimated number of church attendees

Name of other non-profit you are representing:

To whom should all checks be made payable?