UNION OF THE UNION BAPTIST ASSOCIATION

CHURCH STATUS REPORT FORM

CY:  2011

_____________________ Missionary Baptist Church ___________________________

_____________________ North Carolina _________ Tele: ______________________

Method of Payment:  ∏ Check  $_______ Check No. _______ ∏ Cash $_______

To the President and members of the Union convening with ______________________

________________________________ Missionary Baptist Church. 

We send greetings with Brother/Sister: ______________________________________

Saturday before the 5th Sunday in ____________________2_____

Church Representation ($50.00 first 100 members and 50 cents each additional member)                                                                                                                                                $ _______

Deacons Registration ($5.00 Per Deacon)                                                        $ _______

Pastor Registration ($10.00)                                                                              $ _______

Ordained Ministers ($10.00 Per Ordained Minister, List Names on Back)         $ ______

Licentiates Ministers ($5.00 Per Licentiate Minister, List Names on Back)        $ ______

Balance Due from Last Session:                                                                        $ ______

Total Amount for Present Session:                                                                     $ ______

Reverend:_____________________________________________________________

Address: ______________________________________________________________

Bro/Sis _______________________________________________________________

Address: ______________________________________________________________

Remarks: _____________________________________________________________

Obituary:______________________________________________________________

Our Church Would Like To Host the Union ________________ Date:  _____________

PLEASE MAKE CHECKS/MONEY ORDERS PAYABLE TO THE UNION OF UNION BAPTIST ASSOCIATION.  They can be mailed to UUBA, P. O. Box 754, Stedman, NC 28391.  NOTE:  The Union will not make change for messengers.  Checks and other monies should be provided in the exact amount. 

UUBA Church Rpt Fr: 2011