APPLICATION FOR LICENSING - ORDINATION

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APPLICATION FOR LICENSING - ORDINATION - Form 1

All questions are to be answered and all blanks are to be filled in. Much importance is given to your responses, so kindly do so prayerfully. Please remember to enclose the application fee and the two photos

First Name *

Middle Name

Last Name *

Residential Address *

City *

State

Personal Contact No. *

Office Address *

City *

State

Office Phone

E-Mail Address *

Website

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