National Baptist Convention
State Convention Directory Update
UPDATES
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INFORMATION ABOUT THE PERSON SUBMITTING THIS FORM
What is Your Name? *
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First Name
Last Name
What is Your Email Address? *
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Email Address
What is your position with the State Convention? *
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STATE CONVENTION INFORMATION
State Convention Name (Please be accurate! Inaccuracies will delay the update) *
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State President's Name (Enter exactly as you want the name to appear) *
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State Convention Mailing Address *
Address
Address Line 2
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Marshall Islands
Micronesia
Northern Marianas
Palau
Trust Territories
Virgin Islands
Armed Forces(AA)
Armed Forces(AE)
Armed Forces(AP)
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territory
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
City
State
Zip Code
State Convention's Preferred Email Address *
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Email Address
State Convention President's Preferred Email Address *
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Email Address
Main Phone Number *
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Phone Number
Fax Number
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Phone Number
State President Mobile Phone Number *
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Phone Number
State Convention Website Address
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Month of your State Convention Annual Session (usual) *
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Enter additional information/notes here if needed:
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* required