2020 Request for Standing
For ministers certified by the Georgia Commission on Ministry of the Christian Church (Disciples of Christ)
Name *
Full Legal Name
Your answer
Email *
Your answer
Home Address (including city, state, zip) *
Your answer
Work Address (including city, state, zip) *
Your answer
Mailing Address (enter new address or indicate that mailings should be sent to home or work) *
Your answer
Phone numbers (Please indicate each number as: H=home, W=work, C=cellular) *
Your answer
Preferred primary phone *
Date of Birth *
MM
/
DD
/
YYYY
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