Local NMI Convention Delegate Form

Name of Church*
Zone*
Phone*
Church Year*
How many NMI members (church members) do you have? (include participating children, youth and adults)*
How many NMI associates (non-church members) do you have? (include participating children, youth and adults)*
Name of Senior Pastor*
Name of newly elected Local NMI President*
Name of former NMI President (if different)
Elected Delegates (in order of election) *
Elected Alternates (in order of election) *
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