Rocky Mountain District Team, 

Please list all church members deceased since the June 1, 2020. This form is due one the same date as all other reports. (This in NOT NMI Memorial Roll.) Please note, that the names will be published exactly as they are listed on this form, thus it is important for you to be sure the spelling.

If you have more people to list than this form allows, simply submit this completed form and using the same link you can fill our and submit a second form. Thank you.

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* 2. Full Name of Deceased Member

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* 3. Full Name of Deceased Member

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* 4. Full Name of Deceased Member

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* 5. Full Name of Deceased Member

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* 6. Full Name of Deceased Member

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* 7. Full Name of Deceased Member

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* 8. Date

Date

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* 9. Signature
Typing your name serves as your official signature for submission.

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