Memorial Roll Form 2016-2017
Please list the names of those whom you celebrated with a Memorial Roll during the 2016-2017 year. If you have more people than the list allows, please enter a second list and submit after you completed the first list.
These names will be listed in the handbook given to everyone at the District NMI Convention.
You may submit this form by clicking the "Send Form" at the bottom of the page.
Name of your church
Your answer
Please give the complete name
Your answer
Please give the complete name.
Your answer
Please give the complete name.
Your answer
Please give the complete name.
Your answer
Please give the complete name.
Your answer
Please give the complete name.
Your answer
“Please feel free to print this page for your records ONLY.”
IF YOU SUBMIT ONLINE FORMS, PLEASE DO NOT MAIL OR EMAIL ANOTHER COPY.

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