Electronic Key Fob Application

Each key fob can be purchased for $5 upon review and approval of this application.

Full Name

This address will receive a confirmation email

Phone

Address

Are you a faithful tithe paying member of the POG?

Yes No

Do you currently have a key to access the main entrances of the POG?

Yes No

Do you agree to notify pastor or the church office if your key fob becomes lost or stolen?

Yes No

Do you agree NOT to lend or give away your designated electronic key to anyone who is not approved to have after hours access to the POG? (Based upon application approval)

Yes No

Please describe your reasonings for requesting after hours entry to the POG?

As soon as the application is reviewed and processed, your key fob will be either mailed to you or delivered to you at one of our worship opportunities.

Contact Pastor Damon Tipton for any questions regarding application approval.
Email: pastordamon@thepog.cc
Office: 662-227-9141 ext. 5

*NOTE: (You must provide the any former key/s you may have of the entrances in order to receive the new electronic key fob.)

Payment $5

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.

Electronic Key Fob Application

Description

Please Fix the Following