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Chancellor Church Directory

Directory Information:

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Fill in this form for entry into the Chancellor Church Directory.

A sample entry is provided to help with selecting the correct fields and data entry.

At the end of the form please ensure to mark the “Permission” check box to allow us to include your entry into the Church’s 2022 Directory.

Family Name: Smith

First Names: Jeremy, Wilma

Children’s Names: Sarah, Alice, James.

Address: 12 Wattle Court

Town: Maytown

Postcode: 1234

Home Phone: 0 5451 4541

1st Mobile: Jeremy 0404 123 123

2nd Mobile: Wilma – 0405 123 321

Email 1: Jeremy – jeremy@iinet.com.au

Email 2: Wilma: wilma@iinet.com.au

[X] Permission to Publish