Full Name  *

Address  *

Line 1

Line 2

Country  *

State / Region / Provience  *

Phone Number

Local Church / Ministry Name  *

Church/Ministry Phone Number

Email  *

Select Report Month  * January Febuary March April May June July August September October November December

Minister Title  *

BishopApostlePastorEvangelistDoctorProphetOther

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Number of Sermons?  *

Number of Outreach Events  *

Number Baptized in Water?  *

Number of Church Homes Visited  *

Number Converted/Saved  *

Number Received Holy Ghost  *

Number Added to the Church  *

Summery of Months Ministry Activities  *

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Tithes and Offerings Received $  *

Ministers Tithes Paid to Local Church $  *

Tithes Paid to Home Office (USA) $  *

Ministry Expenses $  *