Please complete the following information to order your Pulse:

Your Name *

First

Last

Your title/role *

Email *

Phone number

Organization Name *

Organization's Address, City, State and Zip Code *

If a congregation your Middle Judicatory/Regional Association

Reason for using the Pulse *

I would like to add the following module(s) (optional):

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 am not paying by credit card today, payment for all services will be due upon receipt of invoice. I understand that payment must be received before our assessment will be built.

Please choose whether you would like an online or onsite interpretation with one of our consultants:

*Travel and other expenses will be billed separately

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