Church Contact Name:

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* 2. Church Contact Name:

Senior Pastor & Spouse:

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* 3. Senior Pastor & Spouse:

Church Mailing Address:

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* 4. Church Mailing Address:

Do you have specific dates in mind or are you open to accommodating Kelly/Joy-Lynn's schedule?

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* 5. Do you have specific dates in mind or are you open to accommodating Kelly/Joy-Lynn's schedule?

Church Office Days & Hours:

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* 6. Church Office Days & Hours:

Church website:

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* 7. Church website:

Denomination:

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* 8. Denomination:

Estimated Adult Attendance:

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* 9. Estimated Adult Attendance:

Meeting Format:

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* 10. Meeting Format:

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