to be completed by church clerk

Church Name:

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* 1. Church Name:

Messengers to the Associational Meeting:

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* 2. Messengers to the Associational Meeting:

Deaths during the year: (Collected & used for Memorial Service at Annual Meeting)

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* 3. Deaths during the year: (Collected & used for Memorial Service at Annual Meeting)

Association Board of Directors Members: (Pastor plus one lay person as elected by each church)

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* 4. Association Board of Directors Members: (Pastor plus one lay person as elected by each church)

Other Minister who is a member of our church:

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* 5. Other Minister who is a member of our church:

Other Minister who is a member of our church:

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* 6. Other Minister who is a member of our church:

Meeting Times

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* 7. Meeting Times

Historical Events: (newsworthy events such as new building / remodel, church plants, etc.)

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* 8. Historical Events: (newsworthy events such as new building / remodel, church plants, etc.)

Upcoming significant celebrations: (Include date if available)

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* 9. Upcoming significant celebrations: (Include date if available)

Please list names & position of any NEW STAFF that has been added since our last Annual Meeting in October 2015:

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* 10. Please list names & position of any NEW STAFF that has been added since our last Annual Meeting in October 2015:

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