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Directory Order Form
Please complete for and return with paid monies to:
International Headquarters of the Pentecostal Assemblies of the World, Inc.
Office of the General Secretary
3939 Meadows Drive
Indianapolis, IN 46205
Telephone:(317)547-9541
Fax:(317)543-0513
Shipping & Mailing Information
PLEASE PRINT CLEARLY
First Name
MI
Last Name
Mailing Address
City, State, ZIP
Daytime Phone
Quantities:
$5.00 each
Total Due:
Total Paid:
OFFICE USE ONLY
Received By:
Note: Please keep receipt until directory has been received
