Inquiry - F.A.I.T.H. Riders Motorcycle Ministry

Establish a F.A.I.T.H. Riders Chapter in your area

Please complete the following form to inquire about starting a

Chapter at your church. All information submitted is confidential.

* required information

*Date:

*Name: * Email address:

Church's Information

*Church name: *Size of congregation:

*Church's address:

*City, State, Zip Code:

*Church's website:

*Church phone: *Senior Pastor:

Pastor's phone: Best time to contact: AM PM (select one)

Pastor's email:

* Mailing address

check here if same as church's address above

Name:

Address1:

Address2:

City. State, Zip code:

Chapter Information

*Number of Riders Interested: *Possible Lay Leader:

*Lay Leader's address:

*City, State, Zip Code:

*Lay Leader's home phone: Lay Leader's cell phone:

Best time to contact: AM PM (select one)

*Lay Leader's email:

*How did you hear about us:

*Have you received any promotional material from us in the past six months?

Yes No

If Yes, what kind of material?