Full Name* Title Church Name Address* City/State/Zip* Phone/E-mail* Ext Email Comments Building Information Current average attendance per Sunday?    Plan to build for? How many acres do you have? Will you be:    Relocating or Staying? How did you hear about us? Web Advertising/Which publication?   Direct mail Word of mouth/by whom?   Conference or convention / Which one?   *indicates a required field     © 2002 R. Messner Construction Co., Inc. 3122 N Cypress Suite 500| Wichita, KS 67226 Tel: 316-634-1332 | Fax: 316-634-1418