Church Listing Request Form
   

Listing in the LocalBenefits.com Church Directory.

Non-Profit Organizations receive a 50% Discount off standard membership rates of $99 per month. You will be required to pay the $199 initial enrollment fee and your monthly membership fee is only $49.95 per month ongoing.

SEND NO MONEY NOW.  After completing the form below, you will be emailed a welcome letter and invoice with instructions on how to submit payments.
   

Thank you for participating!
 

Please provide the following contact information:
Person making this request's title or position in the church:  
Contact Person's First Name  
Contact Person's Last Name  
Church Name  
Address  
City  
County  
State  
Zip  
Church Telephone  
Church Email Address  
Check this box if you do not wish your email address to be listed on the website: Your email address will be listed unless this box is checked.
Pastor's First Name
Pastor's Last Name
Church Denomination:
Church's website address if you wish us to link to your website:

 

Is there any other information you would like to share?:   (Comments)

Check this box if you would like LocalBenefits.com to contact you regarding your enrollment.

    

Policy, Terms and Conditions for listing in this directory.