Missionary Report Form | Virgina Western Diocese

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Missionary Report Form

Bishop Dr. Maurice Carter, Presider

*City of Convocation

Date and time

Month

Day

Year

Time

HoursMinutes

Reporting Church

Pastor Church

Multi-line address

Country/Region

Address

City

Zip / Postal code

Local President

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Senior President Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Senior Secretary

Phone

Diocese Finance Report

Number of Seniors

Number of Socials

Number of Juniors

Total of Members

Number of Meetings Held

Number of Souls Saved

Total Offering for Last Quarter

Total Offering for This Quarter

Representation Fee ($10.00)

President's Love Offering ($30.00)

Total Disbursements

Secretary's Love Offering ($20.00)

Balance in Treasury

Roll Call ($2.00) Per Person

Grand Total Reporting

Remarks/Spiritual Report

Email

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