Church Response Form


Church Response Form

Name:
E-mail (required):
Church:
Address:
City:
State:
Zip:

Please indicate which items you would be willing to commit to:
	Regular Prayer
	Publicity for Training and Counseling
	Names of Key People for Our Mailing List
	Referring Members for Training and/or Counseling
	Providing Scholarships for Training and/or Counseling
	Supporting Church Plan A ($600 or $5 per member annually, whichever is less)
	Supporting Church Plan B ($2400 annually)
	Donations of Time and Talents

We would like to call or visit to encourage you in your ministry and talk about our hopes and plans for Biblical counseling. If interested, please note the days of the week and times that are best for you.

Days & Times:



Thank You. God bless you in your ministry to Christ's sheep!


Institute for Biblical Counseling & Discipleship 5333 Lake Murray Blvd La Mesa, CA 91942 Phone: (619) 462-9775 E-mail: info@ibcd.org