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Name:
Email:
Comment:
Email Address
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First Name
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Last Name
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Clergy or Laity?
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Clergy
Laity
Clergy Status (if any)
FE
FD
AM
LP
RE
RD
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District? (If Known)
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Brookhaven
East Jackson
Greenwood
Hattiesburg
Meridian
New Albany
Seashore
Senatobia
Starkville
Tupelo
West Jackson
I don't know
What's The Name of Your Church?
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