National Convention Report- Form 106
Please complete ALL fields on this form to ensure proper reporting. Please have your church finance report ready to present to the General Secretary and Finance Committee on Friday of the National Convention at 9:00 AM. Please bring a certified check to cover your representation fees and please have your church progress report [form 107] ready at this time.
UCJA Church Affiliate *
Mailing Address *
i.e. 123 Main Street, Anytown, NC, 12345
Your answer
Telephone Number *
i.e. 123-456-7890
Your answer
Pastor's Name *
Your answer
Secretary's Name *
Your answer
Secretary's Email Address *
The registration confirmation will be sent to this email address.
Your answer
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