Pastor * First Name Last Name Email * Church * Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Please Indicate Preferred Title Name Ex. Missionary Jane Doe Check all that apply P.A.W. Ordained Ordained Licensed F.A.C. Local License Name P.A.W. Ordained Ordained Licensed F.A.C. Local License Name P.A.W. Ordained Ordained Licensed F.A.C. Local License Name P.A.W. Ordained Ordained Licensed F.A.C. Local License Thank you! Church Ministerial Roster Church Ministerial Roster Church Ministerial Roster
