CLMN Connection Request Form
If you would like to have your organization listed on the CLMN Connection page, please fill out this form for consideration. You will be contacted for verification and additional information before the listing will be published. In addition to the below information, we will need a graphic of your logo and a picture (headshot) of the leader, pastor, etc. You may email this additional content to clmnvaldosta@gmail.com. ***Please note that filling out this form does not guarantee that your organization will be listed.***

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Your Name *
Contact person's name and title. *
Phone Number *
Email *
Title of your organization / church / business. *
Do you have a logo? (this may be emailed later) *
A brief description of your organization of 40 words or less. *
Contact email for the organization. *
Web site url for the organization (if applicable).
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