VIRGINIA NORTHERN DIOCESE WOMEN'S COUNCIL STATE REPORT BLANK
CHURCH OF OUR LORD JESUS CHRISTOf the Apostolic Faith, Inc.Bishop Darryl Thomas, Diocesan Bishop
Headquarters: 520 Whiteside Road, Sandston, VA 23150
To The State Council of Virginia Date: Date Name of Local Church: ChurchName Address: ChurchAddr City: ChurchCity State: ChurchState Zip: ChurchZip Pastor: PastorName FINANCIAL REPORTRepresentation Fee ($10.00): Representation President's Love Offering ($10.00): PresOffering Secretaries Love Offering ($10.00): SecrOffering Home Mission ($5.00): HomeMission Global Mission ($5.00): GlobalMission Education ($5.00): Education Evangelism ($5.00): Evangelism Total Submitted with this Report: Total Secretary: Secretary Signature President: President Signature
If mailing in your payment, make your checks or money orders to VIRGINIA NORTHERN DIOCESE Mail to:P.O. Box 183, Sandston, VA 23150 Attn: VND Finance Committee