Please enable JavaScript in your browser to complete this form.Regional Association *Regional Association's Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour Name *FirstLastYour title/role *Email *Phone Number How many congregations are in your regional association? *How did you hear about us? Another Regional Association The internet Our consultant Our books (i.e. Fly in the Ointment, Penguins in the Pews, Owl Sight, etc.) Other Customizing Your Landscape Reason for using Landscape *Strategic Planning Leader Search Vitality Check The introduction you would like included in your assessment: What roles would you like to be included in question #1 for respondents to pick from: Examples: Regional Association Board or Committee Member, Active Clergy, Retired Clergy, Congregational Board (Vestry, Session, Council) Member, Regional Association Staff, etc.Modules you would like included (optional): Strategic Planning Module Communications Module Our Ministries and Work Together ModuleLeader Search Module COVID 19 - Congregational Impact and Needs Your supplemental questions (optional): Your Logo that you would like included in the heading of your survey (optional): Click or drag a file to this area to upload. Splash page you would like folks to visit when they finish the assessment (optional): Date you are wanting to launch the assessment: All Landscape interpretations are interpreted by one of our consultants. How would you like us to schedule your interpretation of the data? Online Interpretation Onsite Interpretation* with HC!C *Travel and other expenses will be billed separately We would also like our reports by (each option is $200 for reports please note sub reports by role are already provided): TenureAgeChurch sizeRegion (question must be added to supplemental questions) Additional Services: Written Executive Summary of Landscape Results - $ 500.00Landscape Results Presentation to Regional Association at Large via Zoom - $ 500.00Listening Sessions: Facilitation of 5 Listening Session via Zoom with questions developed from the Landscape Results. Cost also includes a final reports of Listening Sessions responses. - $ 3,000.00We need the assessment in English and the following language (additional $200): SpanishDinka KoreanIs there anything else you would like us to know before we build your order?Terms: *I understand and accept the terms of this agreement for running the instrument. I understand that these instruments have been developed by and are the property of Holy Cow! Consulting. I understand that if I have ordered an onsite interpretation or any onsite consulting that travel and other expenses will be billed separately. Payment Options Once we receive payment we will get working on your assessment immediately. I would like to handle payment by: *Pay with PayPal Paying by credit card To be invoiced to the Regional Association Total$ 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! EmailTo Submit Order!