Phone Numbers of Contact Person (h)_________________________
(w)_________________________
FAX Number _______________________ E-Mail Address ___________________________________
Enrollment Information
The Church OnLine enrollment fee is $200 US for first-time enrollment (includes Introductory Resource Packet). Re-enrollment fee: $175 US annually. Although groups may enroll at anytime, we recommend enrollment in late spring or early summer for optimal planning and start up. Your Church OnLine year ends twelve consecutive months after your enrollment.
Church OnLine Enrollment Agreement
Our group wishes to enroll in the CLF Church OnLine
service.
U.S. check, payable to "CLF" (Please note:
Non-U.S. checks must be written in U.S. funds and include
an additional $10 for processing.)
Name & title of check signer (please print):
Phone number of signer:
credit card
Visa MasterCard Discover
Name on card:
Card number:
Expiration date:
Signature and date:
SUBMIT FORM
Please return this form and your payment as soon
as possible to ensure your registration for Church OnLine.
Make a copy for your own records before you send it
to:
Church on Loan Coordinator
c/o CLF 25 Beacon St.
Boston MA 02108-2823
FAX: 00-1-617-523-4123 — Phone: 00-1-617-948-6150
Last updated April 2, 2006
Church of the Larger Fellowship (CLF), 25 Beacon Street, Boston, MA 02108-2823
Phone: (617) 948-6166 · Fax: (617) 523-4123 · E-mail:
clf@clfuu.org
U.S. check, payable to "CLF" (Please note:
Non-U.S. checks must be written in U.S. funds and include
an additional $10 for processing.)