Assignment Form For Apostle Bernice Gibbs
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Church/ Business Name:
Adminstrator/Secretary Name:
Phone Number:
Fax Number:
Email:
Business Address:
City:
State:
Zip:
Event Date:
Event Theme:
Event Location:
Event Type:
Do you currently have a website address?
Would you like to add any additional information?
*This form is only a request. The administrator will be contacted for confirmation*
