Alliance Of Church-Based Community Developers

 "Building Communities One Church At A Time!"

 

Please provide us with information about the church you want us to contact.

Organization:

Mailing Address:

Site Address
(if different):

Phone:

Fax:

Contact Person:

Director:

Do they have
NO
YES      Date of Incorporation:
What kind of service(s)
or community outreach
programs does the 
organization provide?

Membership Payment
Mailed?
NO
YES      Date Mailed:

You may send this form electronically, or print it out  and mail to:

1345 South Burlington Avenue, Suite 204
Los Angeles, CA 90006-5406
mail@accdonline.org

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