Pivot Northwest Contact Record
This is a short contact form to help us record metrics for our grant reporting. None of this information will be used to send you anything (unless requested when it is filled out) nor will it be shared with any parties (except as aggregated, anonymous data).
Email address *
Name of Church affiliation (Include denomination if not part of name, and/or town in which it is located if not in name)
Your Name (with title e.g. "Pastor," "Elder," "Worship Director," "member," "frequent attender," etc.)
I would like to join a list to receive quarterly updates in an email digest about the work of this grant until it ends (I understand I can opt out any time by a link in the email or an email to the Program Manager). *
How I heard about your work/What I am interested in most about what you do:
Please contact me concerning...
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