WBS CMIS
Online Followup System
Regist
ration Form
1. Fill out the information requested.
2. When you are finished, click "Submit CMIS Registration".
Note: Skip the information that does not apply to you.
Clicking the link will create a new window (popup) or will re-use an already opened one
Personal Contact Information
* Required Fields
* First Name:
* Last Name:
What Postal Mailing Address do you want
Follow Up Requests mailed to?
Address Line 1:
Address Line 2
(optional) :
City, Town or Village:
State, Region, LGA or Province (Outside of US & Canada):
State in U.S or Canada:
Country:
Zip (Postal Mailing) Code
(optional) :
Nearest Large City:
Email Contact Info
Do you prefer to receive Follow Up Requests by email or postal?

Email Address:
Other Email Address (optional):
Phone Number
Phone Type:
Country Code:
Number:
Extension:
Additional Phone Number
(optional)
Additional Phone Type:
Country Code:
Number:
Extension:
WBS Info
How large is your work area?
How far are you able to travel to make a Follow Up contact?
* What would you like your CMIS password to be?

Your password should be 8 characters long.
* Re-type your CMIS password here:
Additional Personal Info
In what Country were you born?:
Gender:
What is your Marital Status?:
Languages
What is the primary Language you speak?:
What other language do you speak?:
Birth Date
Month
Day
Year
Professional Info
Employed:
Retired?:
Employer
Profession:
Profession
Notes:
Church Info
If you work with more than one church, list the primary congregation.
Church Name:
Meeting Place:
Meeting Times:
Directions to Meeting Place:
My Service Role(s) at Church
If you serve in many ways,
list the two most frequent roles.
Church Role 1:
Church Role 2:
Comments
 

 
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