Your Assembly, Church or Organization Details
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Your Name (so I can reply to you) *
Your Email Address (so I can reply to you) *
Name of Assembly, Church or Organization *
House Number & Street *
Nearest Major City *
County *
Post Code (if known)
Latitude (if known)
Longitude (if known)
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Contact Telephone Number & Name (Optional)
Email address of church, assembly or organization (Optional)
Your Assembly, Church or Organization Website
What do you want me to do
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Briefly say why there's a change
Google Plus Code for this Address (see it should look something like this: 9C3XGV25+G6
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