Click here to view or print the request form in a pdf. file format.

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Mid-Atlantic District of The Christian & Missionary Alliance

292 Montevue Lane Frederick MD   21702

Request for a Ministry Area Profile
demographic study provided by 
Percept

Four Easy Steps 
1.    Complete the following:

Church 

Location that will be at the center of the study: 

Street 

City     

State   
Zip        

Pastor Requesting the Study   

Contact Information:

Telephone    Email         

2.    Select the type of Study Area boundary you wish to use. 

/files/Graphics/Ministry Area Study - Percept request form[1] ZIP.bmp  

 /files/Graphics/Ministry Area Study - Percept request form[1] Radius.bmp 

  /files/Graphics/Ministry Area Study - Percept request form[1]  Polygon.bmp

Zip Codes

Radius

Polygon

More than 1 zip possible.  Indicate the zip codes you wish included in this report.  All zip codes will be combined into a single study.

RULE OF THUMB: In a densely populated urban area, a radius between 1 and 3 miles should be more than adequate; whereas, a 5-mile radius in a suburban area and a 10-mile radius in a rural area are standard.  Indicate the radius miles from the church, or community below.

If you have a pre-defined ministry area you want to study that isn't well defined by either a Radius or a ZIP Code boundary, you may want to provide us with a Polygon boundary. Please provide a map with the pre-defined area clearly marked - Or call Andy Kerr at (301) 620 9934

Your Selection Type of Study Area Boundry:  

If you chose Zip Codes, please list them:
If you chose Radius, within how many miles?
If you chose Polygon, please fax (301) 620-9937, email akerr@cmamad.org, or mail a map with the boundary marked to Andy Kerr, 292 Montevue Lane, Frederick, MD 21702.

3.    Visit the Ministry Area Profile InfoMap Menu and select a maximum of 6 maps at:
www.perceptgroup.com/Products/MinistryAreaProfile/infomaplist.aspx

Please list map numbers selected:

4.    Fax, mail, or email  this sheet to Andy Kerr

Fax                 (301) 620 9937

Office             (301) 620 9934   x 207

Email              akerr@cmamad.org