subject_line
If you would like to purchase by check
please print the form
here
and mail back with check
Primary Text Administrator Information
First Name
*
Last Name
*
Email Address
*
Confirm Email
*
Church Phone Number
*
Church Street Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Texting Account Groups Information
Church Name
(Group 1)
*
Other Groups:
(Praise Team, Adult Ministry, Youth Group)
Group 2
Group 3
Group 4
Group 5
Group 6
Group 7
Group 8
Group 9
Group 10
User Account Information
User 1 First Name
*
User 2 First Name
User 1 Last Name
*
User 2 Last Name
User 1 Email address
*
User 2 Email address
Group Control
(Which group(s) does
EACH
user need control of?)
Group Control
User 1
*
1
2
3
4
5
6
7
8
9
10
Group Control
User 2
*
1
2
3
4
5
6
7
8
9
10
Do you need more users?
*
Yes
No
User 3 First Name
User 4 First Name
User 3 Last Name
User 4 Last Name
User 3 Email address
User 4 Email address
Group Control
User 3
1
2
3
4
5
6
7
8
9
10
Group Control
User 4
1
2
3
4
5
6
7
8
9
10
Do you need more users?
*
Yes
No
User 5 First Name
User 6 First Name
User 5 Last Name
User 6 Last Name
User 5 Email address
User 6 Email address
Group Control
User 5
1
2
3
4
5
6
7
8
9
10
Group Control
User 6
1
2
3
4
5
6
7
8
9
10
If more are needed please email WBCL@wbcl.org