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ICOC Petition

Instructions

Fill out the form below to add your name to the Petition

Please provide the following (*required)

First Name*

Last Name*

City

State

Email

Personal Data


1.

Membership Status - Are you

Current

Former

Never


2.

Congregations You've been a member of. (You may list more than one congregation, using comas between them)


3.

Year Joined the ICOC (or year that you joined a church that would later be reconstructed by the ICOC)


4.

Year Left the ICOC

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