| Name of Church |
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| Mailing Address |
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| Physical Location |
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| Contact Person |
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| Phone |
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| Fax |
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| Email Address |
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| Purpose of Loan |
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| Loan Amount |
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| Existing Long Term Debt |
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| Purchase Price (if applicable) |
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| Full Narrative Appraisal |
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| Annual Gross Income |
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| Operating Expenses |
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| Net Income |
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| Average Sunday Morning Attendance |
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Content of Intent and Information Validity
By submitting this application you also agree
to allow Alpha 2 Omega, Inc., its’ employees, officers, consultants,
agents, and its affiliates, subsidiaries, and sister companies to
communicate with you and any and all people in your company, its’ parent
company(ies), subsidiaries, and affiliates via facsimile, telephone,
electronic mail and direct mailings. In addition by submitting this
application you are stating that you are authorized to execute this
application and hereby attest that the information provided in this
application is true and correct to the best of you your knowledge
as of today's date:
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