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Memorial Committee Submission
Please submit information for the ABA Pastor, Preacher, Missionary or Minister who passed.
10
Questions
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HIPAA
Compliance
1
ABA Minister's Full Name
*
This field is required.
(Pastor, Preacher, Minister, Missionary)
Bro.
Rev.
Dr.
Bro.
Bro.
Rev.
Dr.
Prefix
First Name
Middle Name
Last Name
Suffix
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2
ABA Minister's Birth Date
*
This field is required.
When was he born?
-
Date
Month
Day
Year
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3
ABA Minister's Death Date
*
This field is required.
When did he pass?
-
Date
Month
Day
Year
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4
ABA Minister's Place of Ministry
*
This field is required.
In which States/Countries did he minister?
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5
ABA Minister's Military Service
*
This field is required.
Did he serve in the US Armed Forces?
No
Other
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6
ABA Minister's Associational Service
*
This field is required.
Did he serve as a President of the ABA?
YES
NO
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7
ABA Minister's Photo
If you have a photo of him, please upload it here.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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8
Name of person submitting this information
*
This field is required.
(If we have questions)
First Name
Last Name
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9
Phone Number of person submitting this information
*
This field is required.
(If we have questions)
Please enter a valid phone number.
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10
Email Address of person submitting this information
*
This field is required.
(If we have questions)
example@example.com
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