| Nomination for 2008 Exemplary Bivo Pastor of the Year | |
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| Enter the following information about your nominee.
When you press the Submit button, the data you entered will be validated, then sent by email. When you press the Reset button, the data will be deleted and the form Reset. Information MUST BE RECEIVED by November 1, 2009<.font> |
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| Name: | |
| Mailing Address: | |
| Physical Address: | |
| Hm. Phone: | |
| Cell Phone: | |
| Email: | |
| Church Name: | |