Sacramento Area Congregations Together · Clergy and Faith Leader Contact Information Form

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Dear Faith Leader,

In this time of unprecidented social crisis, it has never been more important to stay connected with Sacramento's faith community through Sacramento ACT. Please complete the following form so that we have current and complete contact information for you. (Note: even if you are already on our mailing list, please fill this out so that the information we have is complete.)

Name / Nombre

Prefix

First Name

Last Name

Suffix

Your Title

Your Status

Active clergy

Retired clergy

Chaplain

Other

Work Email / Correo electronico

Verify Email

Personal Email / Correo electronico

Verify Email

Work Phone / Teléfono

Personal Phone / Teléfono

Congregation Name

Congregation Size

What is the approximate size of your faith community, worshippers or members?

Less than 100

100 to 250

250 to 500

500 to 1,000

More than 1,000

Religion or Denomination

Congregation Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Home Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

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