CHURCH ON LOAN

Enrollment Form: Church on Loan

Small Congregation Resource Service
from Church of the Larger Fellowship, 25 Beacon St., Boston MA 02108 (617) 742-2100 x150

Print this page to mail or fax your Church on Loan enrollment, or fill out our secure online enrollment form.

Congregation Information

Date of New Enrollment______________

Name of Congregation _________________________________________________________________

Church on Loan ID Number (if re-enrolling) _________________________________________________

UUA District ________________________________________________________________________

Mailing Address of Congregation _________________________________________________________

___________________________________________________________________________________

Phone Number of Congregation __________________________________________________________

Congregation Website: http://____________________________________________________________

Congregation President's Name, Phone Number, and Email: ____________________________________

__________________________________________________________________________________

Avg. attendance _____ How often do you meet? _____________________________________________

Please describe any professional ministerial services you have been using:

__________________________________________________________________________________

Avg. number of children in group _______

Church on Loan (COL) Contact Person Information

Name of Contact Person _______________________________________________________________

Address of Contact Person _____________________________________________________________

__________________________________________________________________________________

Phone Numbers of Contact Person (h)_________________________ (w)_________________________

FAX Number _______________________ E-Mail Address ___________________________________

Enrollment Information

The Church on Loan enrollment fee is $290 for first-time enrollment (includes Introductory Resource Packet). Re-enrollment fee: $265 annually. Although groups may enroll at anytime, we recommend enrollment in late spring or early summer for optimal planning and start up. Your Church on Loan year ends twelve consecutive months after your enrollment.

Church on Loan Enrollment Agreement

Our group wishes to enroll in the CLF Church on Loan service. We understand that all CLF Library materials out on loan must be returned at the end of our enrollment year.

Church on Loan re-enrollment	$265
First-time enrollment (with Intro Pkt). ......(add $25)	_______
TOTAL.....................(maximum $290)	_______

We will pay by:

U.S. check, payable to "CLF"

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 on Loan. 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: (617) 523-4123 — Phone: (617) 948-6167

Last updated June 12, 2005

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

Enrollment Form: Church on Loan

Small Congregation Resource Service from Church of the Larger Fellowship, 25 Beacon St., Boston MA 02108 (617) 742-2100 x150

Small Congregation Resource Service
from Church of the Larger Fellowship, 25 Beacon St., Boston MA 02108 (617) 742-2100 x150