Orange Scholarship and Payment Request Submission Form
What are you requesting? *
please choose one of the following options
Church Name *
Your answer
City *
Your answer
State *
Your answer
Your Name *
Please share your first and last name
Your answer
Your Role at the Church/Organization *
Your answer
Your Contact Email Address *
This email address will be how we correspond with you moving forward
Your answer
Congregation Size *
please share your average church attendance (Adults+Students+Kids) on a Sunday morning
Ministry size *
how many kids on average attend your ministry
What curriculum do you need quarterly payments, a scholarship or a gap coupon for? *
please select all that apply
Required
How much are you able to pay at this time? *
Please share the percent discount that is being requested. If you are requesting a discount/scholarship for multiple curriculum licenses, please list what PERCENTAGE off (rather than a dollar amount) you are requesting per license. If your request is for quarterly payments, it will be the full license cost, divided by 4, with a 4% processing fee each quarter.
Your answer
Please share with us why you are making this request. *
Your answer
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