Premier Church Application - Hampton Ridge Financial

Church/House of Worship Information
Church Name*
Church Phone Number*
Federal Tax ID Number (EIN):*
Year Established*
Physical Address*
Street Address (No P.O. Box) City State ZIP Code
Church Email*
Enter Email Confirm Email
Sales Tax Exemption Status*
Number of years in existence*
Is your church part of a Major Denomination?*
If yes, which one?*
Church Website Address

www.yourchurchwebsite.com
How many contributing members?*
How many active members?*
How many part time employees?*
How many full time employees?*
Average weekly collection
Last year's budget
Current year's budget*
Contact Information
How many contacts?*
Contact #1 (first and last name)*
First Last
Title*

Pastor, Member, CFO, etc.
Home Address*
Street Address City State ZIP Code
Date of Birth*
Month
Day
Year
Mobile Phone*
Email*
Enter Email Confirm Email
Contact #2 (first and last name)*
First Last
Title*

Pastor, Member, CFO, etc.
Home Address*
Street Address City State ZIP Code
Date of Birth*
Month
Day
Year
Mobile Phone*
Email*
Enter Email Confirm Email
Contact #3 (first and last name)*
First Last
Title*

Pastor, Member, CFO, etc.
Home Address*
Street Address City State ZIP Code
Date of Birth*
Month
Day
Year
Mobile Phone*
Email*
Enter Email Confirm Email
Contact #4 (first and last name)*
First Last
Title*

Pastor, Member, CFO, etc.
Home Address*
Street Address City State ZIP Code
Date of Birth*
Month
Day
Year
Mobile Phone*
Email*
Enter Email Confirm Email
Equipment Information
What are you purchasing?
Equipment Type*

Audio/Visual, Furniture, HVAC, Vehicles, etc.
Equipment Cost*
Vendor

Who are you buying from?
What is the need for the new equipment?*
Time Frame*
Declaration
I have read and agree to the Terms & Conditions

Church/House of Worship Information

Contact Information

Equipment Information

Declaration