Woman’s Baptist Home and Foreign Missionary Convention of NC

Auxiliary to GBSC

INSTITUTE APPLICATION

Date ________________________

Name of Sponsoring Organization ___________________________________________

Mailing Address _________________________________________________________

Name of Institute Contact Person ___________________________________________

Mailing Address _________________________________________________________

Telephone __________________________ E-mail______________________________

Name of President, Pastor, Moderator_______________________________________

Date of Institute _________________________________Time ___________________

Begins and Ends

Location _______________________________________________________________

City

Instructor Desired (Optional) ______________________________________________

Can accommodations be provided, if needed? ________________________________

Where? ________________________________________________________________

Can transportation to class be provided, if needed? ___________________________

By whom? ______________________________________________________________

Approximate Number of Persons to Attend __________________________________

Name of Study Book _____________________________________________________

Number of Books Desired _________________________________________________

Bill books to whom? ______________________________________________________

Send Books to whom? ____________________________________________________

Mailing Address _________________________________________________________

Submitted by __________________________________________

Send to: The Executive Secretary-Treasurer

Woman’s Baptist State Convention

P. O. Box 1818

Raleigh, North Carolina 27602

Fax: (919) 833-7599