Allocation Request Form Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Name of Church * Church Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Church Phone * (###) ### #### Date of Beginning NAM Status MM DD YYYY Explain the evangelism efforts and progress of your new work in the past year: * Explain the financial “status” of the church presently: * Amount of funds requested? * What will the requested funds be used for (if granted)? * Have you received District Funds previously? * Yes No If yes, explain how those funds were used: Have you cooperated with the ministers financial responsibilities of the District? * Do you and/or your congregation support Christmas For Christ and/or H.O.M.E. each year? * What are your plans for the future evangelism efforts of the church? * Digital Signature * Date * MM DD YYYY Thank you!
