On-site (Church) Visit Information

Thanks for your interest in a church visit or other type of on-site visit. Please complete and submit this form. One of our team will reach out to discuss a visit and how we can partner with you to meet your congregation or organization’s needs.

Name

This address will receive a confirmation email

Phone

I authorize Ellel to contact me via

Please select all that apply.

Text Message Email

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Address

Type of Organization

Please select one option.

Church Congregation Synagogue Community Home Group Business Other

If other, please explain

Organization Name

Organization Address

If you are not the decision maker for the organization, is the decision maker aware of and in agreement with you making this request?

Please select one option.

Yes No

Name of staff member who will be point of contact for the visit.

Contact Phone Number

On-site (Church) Visit Information

Description

Please Fix the Following