Judicatory Information Form

"*" indicates required fields

Judicatory Name*

Denomination*

Physical Address*

Used by Google Maps.

Street Address Address Line 2 City State ZIP Code

Mailing Address

If different from physical address.

Street Address Address Line 2 City State ZIP Code

Website URL*

Full Name of Assigned Administrator*

First Last

Email of Assigned Administrator*

Enter Email Confirm Email

Phone # of Assigned Administrator*

A brief description of your judicatory (e.g. mission, vision, or values):*

Judicatory Logo*

Accepted file types: jpg, png, Max. file size: 24 MB.

Phone

This field is for validation purposes and should be left unchanged.