IN MEMORY OF
Deceased Church Members
Church Name:
*
District Name:
*
Assembly Date:
*
PASTOR:
Please list below all church members deceased since the last District Assembly. This form should be returned to the DISTRICT OFFICE at least 30 days before your District Assembly. This information is NOT for the NMI Memorial Roll.
Please hit enter after typing each name:
*
Signature:
*
Pastor
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
[2008e] Generated by the Office of the General Secretary.
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