CHAT Registration Form
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PRICING INFO
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PREVIEW THE SURVEY QUESTIONS
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If you are ready to sign up now, please fill out the form below and have your credit card handy for the next step.
Required
Full Church name:
Required
Denomination:
Advent Christian
Anglican
Assemblies of God
Baptist
Charismatic
Christian Missionary Alliance
Church of the Nazarene
Congregational
Episcopal
Evangelical Covenant
Evangelical Free
Foursquare Church
Independent/Non-denominational
Lutheran
Methodist
Pentecostal
Presbyterian
Roman Catholic
United Methodist
Other
Required
Country:
United States
Outside of the United States
Required
Street Address:
Required
City:
Required
State:
SELECT STATE
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Washington D.C.
Delaware
Florida
Fed States of Micronesia
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marianas Pacific
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands (U.S.)
Washington
West Virginia
Wisconsin
Wyoming
AA-APO/FPO
AE-APO/FPO
AP-APO/FPO
Required
International State / Region:
Required
Zip:
-
Mailing Address:
Same as street address
Mailing Address:
City:
State:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Washington D.C.
Delaware
Florida
Fed States of Micronesia
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marianas Pacific
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands (U.S.)
Washington
West Virginia
Wisconsin
Wyoming
AA-APO/FPO
AE-APO/FPO
AP-APO/FPO
International State / Region:
Zip:
-
Required
Phone:
(
) -
-
Fax:
(
) -
-
Church Contact
Required
First Name:
Required
Last Name:
Required
Title:
Required
Email:
(where assessment results will be sent)
(EX JohnDoe@aol.com)
Required
Confirm Email:
Website:
Required
Year church was established:
( Must be Numeric )
Senior Pastor
Required
First Name:
Required
Last Name:
Required
Average weekly attendance of adults:
( Must be Numeric )
Required
Number of worship services per weekend:
( Must be Numeric )
Required
Number of paid staff:
( Must be Numeric )
Required
Total annual budget:
Less than $100,000
100,000 - 249,999
250,000 - 499,999
500,000 - 999,999
1,000,000 - 1,499,999
1,500,000 - 1,999,999
2,000,000 - 2,999,999
3,000,000 - 3,999,999
4,000,000 - 4,999,999
Greater than 5,000,000
Required
How did you hear about CHAT?:
ABC OH
ABC Rocky Mtns
BuildingChurchLeaders.com
C&MA
CA Southern Baptist Convention
CB Northeast
CECL
ChristianityToday.com
Church Community Builder
Church of God CO
Church of God OR/WA
Converge
Foursquare Church
Friend
Google Ad
Gordon-Conwell
HealthyChurch.net
Leadership.net
LeadershipTransformations.org
Miles Advisory Group
NACCC
PastorServe
Pent. Assemblies of Canada
PreachingToday.com
SWCBA
Transformation Ministries
USMB
VA Baptist Mission Board
Vision New England
Web Search
XPastor
Other
Required
Date Survey will be available:
Choose date
Required
Date Survey will be closed:
Choose date
Release of Data for Aggregated Research Your church's data will be combined into an international aggregate database of all churches that have participated in the assessment process. This database enables us to study macro level trends in denominations, generational categories, geographic regions, etc. All data will be kept strictly confidential. At no point will your individual churches data be singled out or made available to the public. We do not sell or share our mailing list.
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