Interfaith Ministries for Greater Houston

*	Question - Required - Name of Faith Community
*	Question - Required - Name of Person Completing Form
*	Question - Required - Title or Position of Person Completing Form
*	Question - Required - I certify that I am able to make financial pledges on behalf of this faith community.
*	Question - Required - Faith Tradition
*	Question - Required - Website
*	Question - Required - Street Address
*	Question - Required - City
*	Question - Required - Zip Code
*	Question - Required - Faith Community Leader's Name
*	Question - Required - Email Address
*	Question - Required - Phone Number
	Primary Contact for Interfaith Relations and Community Partnerships Staff (if different than above)
	Question - Not Required - Contact Person's Name
	Question - Not Required - Contact Person's Title
	Question - Not Required - Contact Person's Email Address
	Question - Not Required - Contact Person's Phone Number
	You may make your yearly financial contribution on the next page after you submit this form.