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Delegate Application Form

You may submit up to 2 delegate's information. If you submit info for a second delegate, please be sure to fill out their info in full, as the feilds on the form are optional for delegate #2!


Please email director@namaronites.org for questions/concerns.

Delegate #1 info:

Delegate #2 info:

Pastor/Administrator Info:

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Keep the Flame Alive.

PO Box 3035 Easton, PA 18043

(904)-752-1882

director@namaronites.org

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