NECROLOGY REPORTING FORM
Please list all the members of your congregation who have been delegates to Diocesan Convention who died between March 3, 2023, and February 23, 2024 (inclusive).
Submission Deadline: NOT LATER THAN FEBRUARY 23, 2024, for the names to be presented during the Annual Diocesan Convention.
CITY OF CHURCH
NAME OF CHURCH
NAME OF PERSON COMPLETING THIS FORM
EMAIL ADDRESS OF PERSON COMPLETING THIS FORM
PREFERRED TELEPHONE NUMBER
Names, church, and deceased dates (if available) of all those members who have been delegates to Diocesan Convention who have died between MARCH 3, 2023 AND FEBRUARY 23, 2024 (inclusive):
Please enter each name and date of death on its own line. If none, please enter "no names to report."