MDWG Form - The Ohio Diocese

M.D.W.G.

The Church of Our Lord Jesus Christ of the Apostolic Faith Inc.

Bishop Kim S. Fitzgerald Diocesan Bishop

Place of Meeting
Date
MM slash DD slash YYYY
Church Name*
Pastor
Church Address
Street Address City ZIP / Postal Code
Phone
Fax
President
President Address
Street Address City ZIP Code
Phone
Email*
Membership Contributions
Member Contributions (click the plus sign to add more rows)
Name Dues Education Newsletter
Dues Totals (PLEASE ENTER TOTALS)*
Education Totals (PLEASE ENTER TOTALS)*
Newsletters Totals (PLEASE ENTER TOTALS)*
Financial
Representation Fee ($10.00)
Diocese Presidents Love Offering ($25)
Foreign Missions Offering
M.R. Norwood Scholarship
M.W. Jackson Scholarship
W.L. Bonner College Fund
Total
Total: $0.00
Sheet Total
$0.00
Person Submitting Report

Name	Dues	Education	Newsletter