IBW Annual Pastor's Church Financial Report

Date

Church Information

Name of the Church

Mailing Address

Name of the Pastor

Pastor's Email

This address will receive a confirmation email

Church's Email

This address will receive a confirmation email

Diocese Information

Diocese Name

Name of Diocesan

Consolidated Assessment

Requested general contribution commitmment to the general body. Enter the appropriate Church Report value from the scale below:

Pastor's Church Report (Refer to the Scale above for the Amount)

Christian Education ($5 per member)

Clergy Wives $25 Representation

Deacons $25 Representation

IYPU ($2 per member)

Men $50 Representation

Missionary $25 Representation

Women $50 Representation

Ushers $25 Representation

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please complete and submit the form along with your Annual Church Report credit card payment.