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Registration

Personal Details

Full Name

Official Title

Mailing Address

Personal mobile Number

Name of your church/organization

Personal social media handles

handle

Denomination of church organization

Official Title or position held in church /organization

Mailing address of church/organization

Email Address of church/ organization

Telephone number of church/ organization

Social media handles of church / organization

handle

Reason for joining CCLC

Tell us about what you do. (Your skills, business services, etc. ) This information is for networking and promotion within our community).

(please share your business website and social media handles.

What are your expectations for joining CCLC? What can CCLC do to help you achieve your goals within the scope of it’s vission?

Signature

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