Church of God in Christ International Orchestra

Participant Information Form
Please complete and submit the following form.
Last Name:*
First Name:*
Middle Name:
Address:*
City:*
State:*
Zip:*
Phone:
Other Phone:
Email Address:
Primary Instrument:
Secondary Instrument:
Jurisdiction:
Jurisdictional Prelate
Local Church:
Pastor:
Will you be attending the AIM Convention?