Please print and fill in.  Mail to the address below.  Or you may use the on line form.

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Church/Ministry: _________________________ 
   
Contact name: ________________________
 
Address: ________________________
  
City: ___________________  State: __  Zip:  _____
 
Phone Number: (       ) ____ - ________
     
Fax Number: (       ) ____ - ________
 
E-Mail Address: ___________________________________

URL link: ______________________________________________________

Denomination: _______________________________________

Pastor's name: ____________________________________________

Church service(s):  
   Day of the week: ____________________  Time: ________ 

__ YES, please include us in the directory.

__ YES, we would like a copy of the directory.  

Fill in and mail to KNOW, 48 Berwick Street. Worcester MA 01602