Spanish Church Lead Input Form – The Kingdom Christian Television Network

Name of Church: *

Spoke with (who took the call/answered phone): *

Original Phone Number Called (from the lead sheet): *

Please enter number just in case one of us has to call the main number from the lead again.

How to address the pastor: *

First name, like "Pastor Steve", or by last name, like "Pastor Stevens".

Pastor's Email: *

Email

Confirm Email

Please have them spell it out for clarity.

Call Result: *

Who Set the Callback Appointment? *

Who will the Callback be with? *

Full Name of Person to Ask for at Callback: *

First

Last

Title/Role of Who to Callback: *

Callback Phone Number: *

Callback Appointment (START) Day / Date / Time: *

Date

Time

Callback Appointment (END) Day / Date / Time: *

Date

Time

Book all appointments 30-minutes apart.

Time Zone: *

Church Qualifiers: *

Channel Choice *

Notes about the call: *

Enthusiasm/Interest Level: *

Rate the callback interest level for me to know how "warm" or "receptive" you think they might be when i call.

Email/Brochure Preferences: *