North American Division
Camp Ministries
 Year-End Reporting:
Page 1 of 3

Please report as accurately as possible. Your information aids the Division and other organizations
in developing ministry plans and resources. Deflated, inflated, or missing reports hamper those efforts.
Contact Information
Year Reporting
Conference
Facility Name
Facility Address
City
 		State/Province
 Zip/PC
  
Country
Facility Phone
 - -  
Manager/Director
  Conference Employee     Lay Volunteer
Director's Address
City
 		State/Province
 Zip/PC
  
Country
Work Phone
 - -   Please provide at least one phone number where you may be reached.
Home Phone
 - -  
Cell Phone
 - -  
E-mail
* NOTE--A valid e-mail is necessary in order to return and edit this record.