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ICHA Annual Report
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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Name
*
Your answer
Will you be attending Representative Assembly?
*
Yes
No
Has your information changed since last year?
*
Yes (If yes please update below.)
No
New Address
Your answer
Are you a:
*
Pastor
Associate Pastor
Youth Pastor
Pulpit Supply
Missions
Student
Educator
Other:
Where?
Your answer
If not serving, please explain:
Your answer
Give a summary of your work this year and/or your personal testimony.
*
Your answer
Other Comments:
Your answer
Pastors Please note any changes to church officers and contact information below.
Church Updates
Secretary: Name, Address and Phone
Your answer
Treasurer: Name, Address and Phone
Your answer
Missions: Name, Address and Phone
Your answer
Sunday School Superintendent: Name, Address and Phone
Your answer
Other: (Specify) Name, Address and Phone
Your answer
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