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MALUPI

LISEVENTH-DAYADVENTISTCHURCH
Y
OUTHMI NI
STRIESDEPARTMENT

AMBASSADORCLUBAPPLI
CATI
ON(Tobefilledoutbyapplicant)

Name _ _
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Address___ ________
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__________ _____________________ ______ ___________________
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thda te_ ________
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dSDA Y N
Phone _____ __
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ma il________
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Iwouldliket ojoi
nAmba ssador atthe_ __ ____________ _
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Seventh-da yAdventi
stChur ch.Iwil
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pateintheclub
anda greetol i
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e nth-dayAdv e nt
istChurch.
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ons .Y N
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_____Adv enturers_ _____ _
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terGuideClub
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on_ _______Y out hE merg e
nc yServi
ce________Sea r
cha ndRescue
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ntistY
outhSoc i
ety__ ______Ot her:__________________________
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Signature__ _____
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____Da te___

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