Request for Certificate of Completion Form

UCME :: Clergy Education

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Request for Certificate of Completion

District Name::

Certificates Needed By::

Presentation Date::

Send Certificates To::

Name to appear on certificate::

-- Please Select --:

Elder
Deacon Chris. Ed.
Deacon Domp. Min.
Deacon Music
Deacon Youth
Deacon Administration
Deacon Chaplaincy

Mailing Address (sith City, State, and Zip Code):

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