DISTRICT CONFERENCE REPORT BLANK

WOMAN’S BAPTIST HOME AND FOREIGN MISSIONARY

CONVENTION OF NORTH CAROLINA

District # ______________ Group # ______________ Date _____________________

District Chairperson _____________________________________________________

Chairperson’s Address ___________________________________________________

Chairperson’s Telephone ________________________ E-mail ___________________

Name of Counties: _______________________________________________________

________________________________________________________________________

Date of District Meeting ___________________ Place __________________________

No. of Counties Represented _________ No. of Circles Represented _________

No. of Unions Represented __________ No. of Circles in District ___________

No. of Churches joining this year _________:

_____ Seniors ______ Young Adults _______ Youth

No. of Unions sponsoring institutes: _______________

Amount of money reported:

Seniors $ ______________

Young Adults $ ______________

Youth $ ______________

Total $ ______________

Report sent by ______________________________ Telephone # _________________

E-mail _________________________

Address ________________________________________________________________

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Please return this blank properly filled in to:

WOMAN’S BAPTIST HOME AND FOREIGN MISSIONARY CONVENTION

POST OFFICE BOX 1818, RALEIGH, NORTH CAROLINA 27602

PLEASE MAKE SURE ALL CHECKS AND MONEY ORDERS ARE PAYABLE TO:

WOMAN’S BAPTIST STATE CONVENTION.

THANK YOU SO MUCH FOR YOUR SUPPORT. IT IS A PLEASURE TO WORK WITH YOU.

Priscilla A. Brodie, Executive Secretary-Treasurer