Group Application

Group Application

 
 
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Group Application
* Required
Street Address
Physical address
Your answer
City
Your answer
State *
Choose
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Option 51
Zip Code *
Your answer
Point of Contact
Name *
Your answer
Positions title
Director, leader, point person, pastor, home director, etc.
Your answer
Email Address *
Your answer
Daytime Phone
Your answer
Alternate Number *
Number you can be reached when not at the daytime number
Your answer
Group Information
Organization Name *
Church, church group, facility, or organization
Your answer
Type of institution or program
Church group, drug rehab, civic group, club, etc.
Your answer
Mailing address
If different from the above address such as a PO Box etc. This is the address you would like donations to be sent to.
Your answer
Approximate number of people in your group
Choose
1-5
5-10
10-20
21 or more
Is your group...
If your answer is other please type how many of each you have in the box provided
Do you have reliable transportation?
How far is your team able to travel?
Choose
Citywide
Countywide
Statewide
Regionally
Nationally
How did you hear about Kingdom Promotions?
Google, Yahoo, other site, word of mouth, etc.
Your answer
Were you referred by another individual or organization?
If yes, please type the name of the referring person or organization in the box provided.
Your answer
You are interested in events in what regions?
Check all that apply
List events you are interested in working
Your answer
Submit
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