EmailMeForm
NTXD - Plant A Church
Application to Plant a Church, Daughter Work or Preaching Point in North Texas District
First Name
*
Last Name
*
Mobile Phone
###
-
###
-
####
Email
*
Address
City
State
Zip
If you have a UPCI ID number, please enter it here
I plan to start a
Please select
Preaching Point
Daughter Work
Governing Work
City where work will be located
Time Frame to start
Please select
1 - 3 months
3 - 6 months
6 months - 1 year
Over 1 year
Do you currently Pastor
Yes
No
If yes, name of church, city and state
If no, name of current Pastor