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VA 1st Holy Convocation Registration 2023
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Email:
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Salutation:
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Asst. Superintendent
Asst. Supervisor
Bishop
Brother
Chaplain
Deacon
District Missionary
Elder
Evangelist
Minister
Miss
Missionary
Mr.
Mrs.
Ms.
Pastor
Reverend
Sister
Superintendent
Supervisor
Last Name:
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First Name:
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Suffix:
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Home Address (Address, City, State, and Zip):
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Cell Phone Number:
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Name of Church:
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District Name:
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Central
Charlottesville/Roanoke
Danville
Eastern Shore
Great Northern
Richmond/Petersburg
South Norfolk
Southern
Virginia Beach
Registrant:
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Adult
Child
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How are you paying your registration? Registration costs are:
Adult Registration Price: $50.00
Child Registration Price: $30.00
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CashApp: $cogicva1
Givelify: Virginia First Jurisdiction COGIC
Local Representative
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