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Jun 3

Church-Registration Form

Your MCN Representative:

SECTION 1: CHURCH INFORMATION

Is the church / Ministry Organization have IRS 501-C3 status?
Address
Name

SECTION 2: PRIMARY CONTACT INFORMATION

Full Name
Title / Position

SECTION 3: CHURCH BUSINESS COMMUNITY PROFILE

Approximately How Many Business Owners, Entrepreneurs, Executives, and Self-Employed Professionals Are Connected To Your Church?

SECTION 4: CURRENT AREAS OF PURSUIT/INTEREST/INVOLVEMENT

What Areas Is Your Church Currently Focused On? (Check All That Apply)

SECTION 5: PREFERRED MCN ENGAGEMENT FORMAT

How Would You Like To Introduce MCN's Resources To Your Congregation?

SECTION 6: CONSULTATION REQUEST

Preferred Consultation Method
Preferred Time of Day

SECTION 7: PROGRAM ACKNOWLEDGMENTS & AGREEMENTS

Do you understand that the MCN Church Partnership Program is an educational and economic empowerment initiative.
Do you understand that my church does not act as a lender, broker, financing intermediary, correspondent, facilitator, middleman, prospector, loan originator, underwriter, processor, or agent of Metropolitan Capital Now.
Do you understand that participation in the program is voluntary.
Have you referred businesses for funding before?
Do you authorize Metropolitan Capital Now to contact you regarding the Church Partnership Program.
Do you confirm that you are NOT a co-owner, partner, principal, manager, or stakeholder in the businesses you refer?
Do you agree not to submit the same referral to other lenders until MCN has approved or declined the application?
Do you agree to the terms of the Referral Fee Agreement?

SECTION 8: ADDITIONAL COMMENTS

Type 'N/A" if nothing to add.

SECTION 9: MINISTRY SUPPORT CONTRIBUTION PAYMENT INFORMATION (CONDITIONAL SECTION)

Name Of Authorized Financial Contact
Multiple Choice
Bank Name
Bank Name
Bank Account Type
Acknowledgment
Do you certify that you are an authorized to provide payment instructions on behalf of the Church or Ministry Organization.

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