Association Information Update

Association Information Update

Thank you to your Association for completing this form. In doing so, you ensure that the Convention has the latest
information regarding your church. Once completed, you may mail this form to the Baptist Headquarters (125 E South Street, Raleigh, NC 27601) or
email to Dr Tony Barr ([email protected]).

Association Physical Address (This May Be Different From the Mailing Address)
Association Physical Address (This May Be Different From the Mailing Address)
City
State/Province
Zip/Postal
Association Mailing Address
Association Mailing Address
City
State/Province
Zip/Postal

Moderator Information

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country

Vice-Moderator Information

1st Vice-Moderator Information

2nd Vice-Moderator Information

3rd Vice-Moderator Information

4th Vice-Moderator Information

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