Date Submitted*

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Your Name*

First

Last

Your Title*

Your Email*

Phone

Cell

Church Name*

Pastor’s Name*

Church Email*

Pastor’s Email*

Software Administrator*

Administrator’s Email*

Church Address*

Street Address City State Zip Code

Church Phone

Church Website URL

Your CAA Sales Agent’s Name:*

Your CAA Sales Agent’s ID #:*

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Note 1: Thank you for choosing Church MemberLink! After submitting this form, we will notify you within 24-48 hours by email with the subject line reading “Welcome To CAA” This email will include a temporary username and password for login.

Note 2: Please provide a Logo to be added to your program in a JPEG, PNG, or GIF format; the maximum size of your logo is 200 X 75

Note 3: Once your custom program is up and working, we will work with you to modify and personalize the needed data fields for importing your existing membership database information. (Excel Spreadsheet CSV file format required)