Church Contact Person Form – Mennonite Disaster Service

Thank you so much for your support of MDS through our Church Contact Person initiative. Please fill out this form if you are new to the CCP program or if you have updates to your account that need to be made.

Development Manager

Brad Fair

Phone Number

1-800-241-8111

Mailing Address

583 Airport Road
Lititz, PA 17543 USA

Type of Update(Required)

Update Source(Required)

Who is providing the information?

Name of Church Contact Person

First Last

Name of New Church Contact Person

First Last

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Option 1, 2, 3 AND I'm A CCP — Contact Information

Phone(Required)

Address(Required)

Street Address City State / Province ZIP / Postal Code Country

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Option 4 AND I'm a FORMER CCP – Contact Information

Phone(Required)

Address(Required)

Street Address City State / Province ZIP / Postal Code Country

Hidden

All other Options

Address

Street Address City State / Province ZIP / Postal Code Country

Phone

Hidden

Section Break

Do you know who the former Church Contact Person is?

Name of Former Church Contact Person

First Last

Please provide the first and last name of the former church contact person.

Church Information

Church Name Church City State/Province

Other Information

Please add any additional information that you think is important for us to know that isn't included in other fields.

Name

This field is for validation purposes and should be left unchanged.