620 Park Avenue #311, Rochester NY 14607-2943 | 800-462-9498 toll-free | 585-360-4512 local | 585-486-6529 fax | e-mail

Partnership Form

Please complete the form below, then click the button at the bottom to print.

We support Integrity's mission and wish to become an official Integrity partner.

Signature of Senior Clergy Person (required):

__________________________________________________________________

Contact Person [for Integrity use only, will not be listed] 

Name of Congregation/Organization 

Mailing Address of Congregation/Organization 

Street Address of Congregation/Organization (if different)

Telephone of Congregation/Organization

E-mail of Congregation/Organization

Web Page URL of Congregation/Organization

Diocese of Congregation/Organization

Level of Support
 $75 [minimum]     Other: $

 

 Mail your completed and signed form--along with your check made payable to "Integrity"--to:

Integrity
620 Park Avenue #311
Rochester, NY 14607-2943

 Thanks for your support!

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No good thing will God withhold from those who walk with Integrity.  Psalm 84:11

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