NC State Council Minister’s Wives Church Report

You can complete the Online Report Form Here or Download & Print the Form below.

download & Print Form Here

Region Number

Minister's Wife's Name

First Name

Last Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Cell Phone

(###)

###

####

Pastor

Church Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Local Dues

Pastor's Wives $100 Minister Wives $50

Love Offering Amount

Fundraising Amount

Amount of Convention Dues ($30 per Year for July/ $20 per Year for Widows)

Total Finance Report