While some fields are required, please complete as much as possible - it will help us with our rewards program.

 

fields in bold are required

Email Address (will double as login)

 

Password


Confirm Password

 

First Name

 

Last Name


Address


City



State/Province



ZIP code



Country



Birthdate

mm/dd/yyyy
(required for COPPA compliance)

 

Contact Number:

Your mobile phone number is required so that we may contact you periodically via SMS text messages about important campaign updates.

 

 

If you were enrolled, please provide the email address of the person who referred you

 

Have you visited www.gospelmusicchannel.com to view GMC’s programming?

 


Do you currently watch Gospel Music Channel?


What other Christian organizations are you a part of?

 

Would you be willing to host a GMC-sponsored event at your church?

 

Would you be willing to volunteer at local concerts/events on GMC’s behalf?

 

Would you be willing to organize a group of other people in your church to help you support GMC?

 

In what ways would you help spread the word about GMC?

 

Preferred t-shirt size:

Who are your top 5 favorite music artists/bands?

 

 

Are you yourself a musician, singer, or performer of some kind?

 

 

If "yes," describe your talents:

 

Church/Ministry Information

Church/Ministry Name

 

Senior Minister’s Name

 

Music Minister's Name

 

Address Line


Address Line 2


City


State/Province


Zip/Postal Code


Country

 

Church Size

 

Please select the number of flyers you feel you could realistically distribute


If you need a specific amount of flyers, please email us to make arrangements.


Role at church

 

How can Gospel Music Channel help your church/ministry?

 

 

 


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