Organization Registration

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Organization/Group Name	Fairmont Methodist Church
Primary Phone	5072355579
Primary Email	christianeducation@umcfairmont.org
Address	119 East Second St
Address Ln 2
City	Fairmont
State	Mi
Zip	56031

Individual Contact Information

First Name

Last Name

Cell Phone (Primary)

Phone (Alternate)

Department

Password (Minimum of 6 Characters)

Password (verify)

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