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Your Assembly, Church or Organization Details
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Your Name (so I can reply to you)
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Your Email Address (so I can reply to you)
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Name of Assembly, Church or Organization
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House Number & Street
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Nearest Major City
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County
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Post Code (if known)
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Latitude (if known)
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Longitude (if known)
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Country
England
Scotland
Wales
N.Ireland
Eire
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Contact Telephone Number & Name (Optional)
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Email address of church, assembly or organization (Optional)
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Your Assembly, Church or Organization Website
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What do you want me to do
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Google Plus Code for this Address (see
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) it should look something like this: 9C3XGV25+G6
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