[Church Name] Church Officer List 20___ Please use this form to list your church officers for the 20___ church year. A maximum of 14 officers’ listings can appear on each page; other officers’ names will be placed on various mailing lists for use by Conference Departmental personnel. Please note that officer listings shown with asterisk (*) are required information. If you area codes/phone prefixes have changed, please be sure to list them. If directions to the church have changed, please update them at the end of this form. Please TYPE OR PRINT ONLY names, addresses and zip codes and check for accuracy. Email your completed report to or mail your list to to arrive by , . Faxed reports can be accepted if they are typed or printed. Fax to . Thank you for your prompt help. Church Name: Street Address: City, State & Zip: Attn: Mail Address:
Phone#: Fax#: Email:
Website:
(Use P.O. Box if valid: Large packages cannot be sent to post office box.)
Bulk Mail Address: (Use street address only: Bulk mail cannot be sent to post office box.)
Sunday School beings at: meetings on this day:
Position Pastor* Associate* Pastor(s) First* Elder Head Deacon Clerk* Treasurer* Children’s* Ministries Community* Services Dir. Education Secretary Health* Ministries Men’s* Ministries Women’s* Ministries Prayer* Ministries Communicati on* Leader
Please update directions to your church: Please double check the directions to your church and make the necessary corrections! The directions should begin from the Conference office to your church. Name of Person Filling Out this Form: Phone Number: