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Florida Conference of Seventh-day Adventists

August 17, 2018

CLUB REGISTRATION

By Etcdev_marketing

CLUB OF THE YEAR REQUIREMENT
Due by: September 15, 2018
All fields MUST be filled in order to submit the form.

CHURCH NAME:*
AREA:*
PASTOR'S NAME:*
First Last
PASTOR'S EMAIL:*
CLUB DIRECTOR'S INFORMATION:
For the 2018-19 club year I am a:*
- First Time Director
- Returning Director
DIRECTOR'S NAME:*
First Last
DIRECTOR'S CELL PHONE:*
DIRECTOR'S EMAIL:*
DIRECTOR'S ADDRESS:*
Street Address City State ZIP Code
ADDITIONAL CONTACT: (You must provide one)
Please choose one:*
Name*
First Last
Address*
Street Address City State ZIP Code
Email*
Phone*
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Name
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