First Name:  * Last Name:  * Address:  * City:  * State:  * Zip Code:  * Phone Number  * Email Address:  * District  * Local Church Membership  * Indicate: Minister of MusicDirector/Minister of Christian EducationOther (please indicate below) In what ways have you supported the Church of the Nazarene?  * Personal Testimony  * Indicate place of service for coming year  * Please initial below to verify all information is correct. Initials  * Once you submit the form you will be taken back to the District Secretary Home Page Do not enter anything in this field:

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