ICHA Annual Report
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Today's Date *
MM
/
DD
/
YYYY
Name *
Will you be attending Representative Assembly? *
Has your information changed since last year? *
New Address
Are you a: *
Where?
If not serving, please explain:
Give a summary of your work this year and/or your personal testimony. *
Other Comments:
Pastors Please note any changes to church officers and contact information below.
Church Updates
Secretary:  Name, Address and Phone
Treasurer:  Name, Address and Phone
Missions:  Name, Address and Phone
Sunday School Superintendent: Name, Address and Phone
Other: (Specify) Name, Address and Phone
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