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Region 2 & 3 Elders, Deacons, and Deaconess Retreat Registration
Name of Church
*
Street Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
How many in your group will eat Sabbath lunch?
*
How many Elders will be attending?
*
Please provide the name of the
ELDERS
in your group.
(CLICK THE PLUS SIGN TO ADD MORE NAMES)
*
🛈
+
-
How many Deacons will be attending?
*
Please provide the name of the
DEACONS
in your group.
(CLICK THE PLUS SIGN TO ADD MORE NAMES)
*
🛈
+
-
How many Deaconesses will be attending?
*
Please provide the name of the
DEACONESSES
in your group.
(CLICK THE PLUS SIGN TO ADD MORE NAMES)
*
🛈
+
-
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