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Form 1
Certificate of Lay Deputies to the SYNOD of the Diocese of Quincy
Deputy Name
*
Deputy Address
Deputy Telephone
Deputy Email
*
Alternate Lay Deputies:
Alternate Deputy Name
*
Alternate Deputy Address
Alternate Deputy Tel #
Alternate Deputy Email
*
Alternate Deputy Name (copy)
*
Alternate Deputy Address (copy)
Alternate Deputy Tel # (copy)
Alternate Deputy Email (copy)
*
Alternate Deputy Name (copy) (copy)
*
Alternate Deputy Address (copy) (copy)
Alternate Deputy Tel # (copy) (copy)
Alternate Deputy Email (copy) (copy)
*
Alternate Deputy Name
*
Alternate Deputy Address
Alternate Deputy Tel #
Alternate Deputy Email
*
Alternate Deputy Name (copy)
*
Alternate Deputy Address (copy)
Alternate Deputy Tel # (copy)
Alternate Deputy Email (copy)
*
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