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Extraordinary Women of 2007
If you have trouble with this form, please email us at sundiemorning@hotmail.com

FirstName:(Required)

(First Name Only)
 

 MI
(middle Initial or Middle name)

 
Last Name (Required)  
Your Role in the Organization you represent. (optional)  
Street Address: (Example:  555 Clayton Avenue, Apt 365)
 
 
City:
 
State:   (drop-down list)
Zip Code:  
***If you do not reside in the United States, please use this box to complete your mailing address.
Home Phone:
Example  526-659-0023
(please use dashes)
Email Address:
Age: 
(Must be 18 Years or older)
 
Date of Birth:
 

(Example:  05/06/1964)

Please use the following box to tell us about yourself , the organization you represent, or the person you would like to honor.

Please Type in Initials below to confirm application:

   I am submitting this application to be considered as an Extraordinary Woman Designee in the publications of Sundie Morning Sistas.   I understand that Sundie Morning Sistas seeks to honor Christian women and that submitting this form does not guarantee that I or anyone that I nominate for this distinction will be featured in any Sundie Morning Sistas publication.   I hereby give Sundie Morning Sistas the authorization and/or permission  to use my name, picture, and all other writings contained or submitted with this application in it’s publications.  I also understand that submitting this form does not guarantee that I (the designee) will be featured in any of Sundie Morning Sistas publications.  Henceforth, by clicking this button, I am in agreement with the aforementioned. 

Checking this box certifies that I am over the age of 18.

 

 

NOTE:  In order to designate someone other than yourself for this distinction, you may enter the information above or download the application and mail it to us at :  SMS, Attn:  EWOG, P.O. Box 33, Bloomfield, CT 06002-0033. 

To Download PDF Form Click here.
To Download MS Word Form, Click here.

 

 

 

 


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