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P R E A C H E R ' S N A M E : S VA I

PREACHER'S I.D. #

YEAR: 20 QUARTER: {please circle) ^Quarter^ Quarter 2 Quarter 3 Quarter 4 Quarter's Ministry Information: New Areas Evangelized ^ New Churches Started )

Number of Persons Receiving Christ for Salvation f 3 I have received aU funds as designated forme by Gospelink: (sign)

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N AT I O N A L P R E A C H E R Q U A R T E R LY R E P O R T S E C T I O N 1 : P E R S O N A L I N F O R M AT I O N a n d FA M I LY I N F O R M AT I O N

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