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Church Info
Thank you for helping us stay current on your Club and Address information. Click the "submit" button at the bottom to complete this form. If you are sending in a payment, please print this page and mail it with your check to the address provided below.
If you are not an Assembly of God church, please check the box below. A payment of $3.00 per club will need to be sent with a copy of this form to the District Office address below. (For non-a/g churches only.)



Coordinator
Please list the current Girls Ministry Coordinator who will receive correspondence for your church.


Club Info
Please select what Clubs/Teen Girl Ministries you have:







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