Request Literature

To request that CLA send Bibles and Christian literature to your church or organization in Africa,
complete the following form and send it to CLA.

Request Form (must be filled in before application will be considered. You can fill out the form online or print it and mail/post it to CLA. You may also scan the completed form and email it to clafrica1@gmail.com. See below for a downloadable file.

Primary Contact Information

* Indicates required field

Name of Organization *

Physical Address *

Line 1

Line 2

City

State

Zip Code

Country

Postal Address (if different from physical (street) address *

Line 1

Line 2

City

State

Zip Code

Country

Name of Responsible Person *

First

Last

Position *

Phone Number *

Email *

Social Media contact information [Twitter, Facebook, or other media] *

Secondary Contact Information (required)

Name of Second Contact Person *

Address of Second Contact Person [Both street address and postal address, if different from street address] *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Relationship or Position to You or the Organization *

Your Local Clearing Agent Information

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Organizational Information

A Brief Mission Statement for Your Organization *

Chairman *

First

Last

Secretary *

First

Last

Treasurer *

First

Last

Statement of Beliefs *

Additional Request and Authorization Information

What is the purpose of your request? Types of resources needed? *

Can you use Sunday School materials and Vacation Bible School resources? For what age group>? *

Where is the nearest port or International Container Yard for receiving the consignment?

Port *

International Container Yard *

I understand that Christian Literature for Africa Association covers only the cost of shipping the container to the nearest port or International Container Yard. I, or our organization, agree to have the necessary funds to cover all charges, costs and fees related to the consignment when it arrives. Furthermore, I agree to submit photos and follow-up reports to Christian Literature for Africa for possible use in their newsletter.

Date *

Organization or Denominational Affiliation *

Date your organization was organized *

Government Registration Number or I.D. (if applicable) *

Name *

First

Last

Submit

To complete the form by hand, download the file below, complete the form, and post/mail it to:

Christian Literature for Africa Association
PO Box 5524
Fort Wayne IN 46895
USA

cla_application_form.docx
File Size:	29 kb
File Type:	docx

Download File

Reaching Africa ThroughThe Written Word​​