New Client In-Take Form

Church Name *

Legal Business Address (if different from physical address)

Church EIN *

Street Address for Services *

City *

State *

Postal code *

Main Service Day/Time *

What's your average worship service attendance? *

What's your goal in terms of numbers for church growth? *

Other Services (Day and times) *

Website *

Church Email Address For Outgoing Emails to Leads *

Link to Church's Facebook Page *

Facebook Ads Account Number *

To find your church facebook ad account number please login to facebook ads manager (adsmanager.facebook.com) and use the dropdown menu in the upper left hand corner to select your ad account. The ad account number is next to the account name. (SEE PICTURE BELOW FOR REFERENCE).

Pastor's First Name *

Pastor's Last Name *

Pastor's Spouse Full Name and Title (if applicable)

Email *

Phone *

Primary User's Full Name (the person who will be primarily working in the app) *

Primary User's Phone Number *

Primary User's Email Address *

Please provide the names, email addresses, and phone numbers of others on your team/congregation that can begin learning about our processes in order to help you meet your goal. *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from GROW with Paul Hardin, Inc.