Elevation/Birthday Celebration
 
Elevation/Birthday Celebration
Salutation
Full Name  * 
Address  * 
City, State, Zipcode  * 
Phone number  * 
Your Email Address  * 
Number of Banquet Tickets
Name of Attendees
Banquet Dinner Table (Seats 8)
Souvenir Book
Bishop Darrell Hines Birthday Gift $ 
Regrettably, I will not be in attendance but would like to make a donation honoring Bishop Darrell Hines $ 
Please type in the box to the right »  * 
Total $
 
 
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