United Churches Of God in Christ International
2008 Holy Convocation
Pre-Registration Form
$20.00 (during the meeting $25.00)
Name: _________________ ________ ___________________________
Title: ______________________________
Mailing Address: ______________________________________________
City, State, Zip: ________________ _____ ______________
Phone: _______________________________
Email:__________________________________
Church: ____________________________________________
Jurisdiction (circle one): GA NE -- GA SC -- Tabernacle Intl -- Love and Truth -- Covenant
Last (4) SS#: ________________
For Internal purposes only:
Date Bag Given: Completed by (Initials): _________
Date ID Taken: ___________,2008
