IMDWG INDIVIDUAL BLANK

INTERNATIONAL MINISTERS' AND DEACONS' WIVES' GUILD
Church Of Our Lord Jesus Christ of the Apostolic Faith, Inc.

Bishop R.C. Lawson, Establishmentarian

Apostle James Maye . Presiding Apostle

Apostle Robert Sanders- Apostle to the Women's Auxiliaries Dr. Sheryl Jackson-Johnson, International President
INDIVIDUAL REPORT BLANK TO THE INTERNATIONAL CONVOCATION
DUE DATE LEADERSHIP SEMINAR DATE COMPLETED

MonthDayYear
Date
MEMBER NAME
Address

STREET ADDRESS

Street Address Line 2

CITYSTATE

ZIP CODE
HUSBAND'S NAME
TITLE
MEMBER EMAIL ADDRESS
example@example.com
HOME PHONE
CELL PHONE
CELL PHONE CARRIER
CELL PHONE CARRIER
STATE/DIOCESE
STATE/DIOCESE PRESIDENT'S NAME
NAME OF LOCAL CHURCH PASTOR
LOCAL PRESIDENT'S NAME
FINANCIAL SECTION
DUES ($15)
SCHOLARSHIP ($3)
Scholarship ($3.00) Registration ($20.00) Love Offering ($5.00)
REGISTRATION ($20)
LOVE OFFERING ($5)
TOTAL
Thank you for reporting and supporting! God Bless! Please give a copy to your Local/ Diocese/State President.

245 Jordan Springs Drive Duncan, SC 29334
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