Join TXCDRPlease complete the following. We will contact you within 2 business days. About Your Congregation/Organization Congregation/Organization Name * Congregation's/Organization's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Congregation's/Organization's Website/Facebook Address * http:// Congregation's/Organization's Primary Phone Number * (###) ### #### Pastor/Rabbi/Congregational Leader Name * First Name Last Name Email * Mobile Phone * (###) ### #### Primary Contact Name * First Name Last Name Email * Mobile Phone * (###) ### #### Role * Disaster Readiness Coordinator (DRC) Assistant Disaster Readiness Coordinator (ADRC) Other Additional Contact (optional) Name First Name Last Name Email Mobile Phone (###) ### #### Role Disaster Readiness Coordinator (DRC) Assistant Disaster Readiness Coordinator (ADRC) Thank you!
