INTERNATIONAL DEPARTMENT OF WOMEN C.O.G.I.C.
Date
Name ( Last, First, Middle Name )*
Address*
Home Phone
Business/Cell Phone
Email Address*
Fax
Birthday ( Month and Day )
Spouse's Name
Church Membership ( Church Name and City & State )
Pastor
Business or Profession
Jurisdiction or National Auxiliary Membership
Jurisdiction
Jurisdictional Prelate
Supervisor
FUND RAISING
HOSPITALITY
MEMBERSHIP
NEWSLETTER
PROGRAM
PUBLIC RELATIONS
SCHOLARSHIP
OTHER ( Please indicate )
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