The Women of Excellence at GENESIS BAPTIST CHURCH  - College Student Gift Card Application
For College Students who are MEMBERS of Genesis Baptist Church
Must submit application in order to be considered

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First Name *
Last Name *
Mailing Address *
City *
State *
Zip Code  *
Phone Number *
Alternate Phone Number
Email Address *
Name of College or University *
Classification  *
Parent's Name(s) *
Please return this form by Monday, February 20, 2023
Questions?  Contact
 Mrs. Audrey Ray, 
 Mrs. Gloria White,

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