IN MEMORY OF

This form is intended for all church members who have unfortunately passed away since the last District Assembly. We kindly ask that you complete this form at least 30 days before your District Assembly, as we wish to honor their memory together. Please know that this will be sent directly to the DISTRICT SECRETARY, so you won't need to submit a physical copy.

This information is NOT for the NMI Memorial Roll.

Please use the fields below to enter the names of your church members. Once you've added a name, please click the "+Add Name" button to include additional members as needed. When you have entered all the names, simply click "Next" to continue. Thank you for your care in honoring them.

This form will automatically be emailed to the District Secretary. 

There is no need to mail in a physical copy. 

Thank you.

As a reminder: This information is NOT for the NMI Memorial Roll.