Please enable JavaScript in your browser to complete this form.Church Name (As you would like it to appear on title of your assessment) *Church Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour congregation's average weekly attendance, please include online attenders if applicable. Your Name (Please Note: We ask that we just have one contact person per congregation) *FirstLastYour title/role *Email *The type assessment your Congregation Completed: Congregation Assessment Tool ConversationsPulse Focal Points What type of Consulting Session would you like? Two hour online Consulting session with Transition, Profile, or Search Committee - $ 450.00Two hour online Consulting session for Strategic Planning - $ 450.00Listening Sessions Preparation and Training for Lay Leader Facilitation - $ 450.00Is there anything else you would like us to know? If you would like, you may request individual consultants or any dates you are thinking would work best for your team. We will work hard to accommodate those requests as best we can. Payment Options How will you be paying today?* *Pay with Paypal Pay by credit card Total $ 0.00Credit Card Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2324252627282930313233 A receipt and a paid invoice will be emailed to you once we charge your credit card. Thank you! NameTo Submit Order!
