We're excited about our continued partnership!
Please review these items carefully before getting started:

Gospel Agreement: www.churchplantmedia.com/gospel
Radius Protection: www.churchplantmedia.com/design-style-availability
Begin
 
First, let's get some basic information...

 
Which type of partner are you? *


 
What is the name of your {{answer_ScIslVxv6xjb}}? *

 
What's the name of your current site with Church Plant Media?

Please make sure to write it as it is in the Content Management System, including not only the name but also the location (e.g. Example Church: City, State).
 
What denomination, affiliation, or group are you associated with?

 
What is the office phone number?

 
What is the primary domain name (URL)?

If you don't have one registered yet, please feel free to skip this question (or write in the one you plan to register).
 
Does your {{answer_ScIslVxv6xjb}} have a physical location? *

This is the address that we will protect so no other church or organization in your area can have the same website as you. Usually this is the physical address where your church meets or where your organization is located. To read more about our Radius Protection, please go to http://www.churchplantmedia.com/radius-protection.

 
What is the address?

This is the address that we will protect so no other church or organization in your area can have the same website as you. Usually this is the physical address where your church meets or where your organization is located.
 
Your Information

 
First Name? *

 
Last Name? *

 
Your role? *

Pastor, Administrator, Owner, Elder, etc.
 
Your mobile phone number?

 
Which design style would you like? *

We will check your address with our Radius Protection system and let you know if the design is available in your area.












 
Would you like us to include any of these add ons? *


 
Your total cost is {{var_price}}. Would you like to pay for your website online now, or receive an email invoice so you can pay online (or send a check) later? *


 
Who would you like the initial invoice to go to? *


 
Billing Contact's Information:

 
First & Last Name? *

 
The total cost of the website + add ons (if you selected any) is {{var_price}} *

 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


 
If you have any questions or comments, please note them here:

Thank you {{answer_MFogmZCoSqMM}}! You will receive an email shortly at {{answer_x0RSaGRHpXVp}} describing the next steps of the process. We look forward to our continued relationship!

If you have any questions in the meantime, please feel free to give us a call at (800) 409-6631 ext. 1.
Visit our website!