Please complete the following as accurately as possible and electronically submit no later than JANUARY 15, 2008 to Jan Reed, Atlantic Northeast District Office, 500 East Cedar St., Elizabethtown, PA 17022. Please provide NAME, ADDRESS - INCLUDING ZIP, AND PHONE NUMBER. We can only include one name per category in our mailing system (the person who closest fits the position title, even though your congregation may use a different title). You may also use the Preview feature of this form to print a copy for your own records.