I'm Ready to Reach Churches and the People Inside!

*First Name:

*Last Name:

*Organization Name:

* Christian Retailer

Church Bookstore

SAN:

*Address Line 1:

Address Line 2:

*City:

*State:

*Zip Code:

Country:

*Phone:

Fax:

Email:

What is your position?  Owner  Manager  Buyer  Frontliner  Other  

Are you a CBA member?  Yes  No  

CBA Member ID#  

How many churches are in your market area?

How many churches do you serve?

How did you hear about Innovative Church Marketing?

Current Customer  Mail Ad  Internet Search Engine  Magazine Ad  E-mail Ad

Other:  

Do you currently have a website?  Yes  No

     If so, what is your website address (URL)?  

Are you collecting e-mail addresses you can submit for e-mail promotions?  Yes  No

What is your marketing affiliation?

Munce  Covenant  Parable  Logos  Other  

I'm interested in:

The Innovative Church Marketing Program

The Church Resource Catalog