Memorial Committee Submission

1
ABA Minister's Full Name* This field is required.(Pastor, Preacher, Minister, Missionary)
Bro.
Bro.
Rev.
Dr.
Prefix
First Name
Middle Name
Last Name
Suffix
2
ABA Minister's Birth Date* This field is required.When was he born?
Date
Month
Day
Year
3
ABA Minister's Death Date* This field is required.When did he pass?
Date
Month
Day
Year
4
ABA Minister's Place of Ministry* This field is required.In which States/Countries did he minister?
5
ABA Minister's Military Service* This field is required.Did he serve in the US Armed Forces?
No
Other
6
ABA Minister's Associational Service* This field is required.Did he serve as a President of the ABA?
YESNO
7
ABA Minister's PhotoIf you have a photo of him, please upload it here.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
8
Name of person submitting this information* This field is required.(If we have questions)
First Name
Last Name
9
Phone Number of person submitting this information* This field is required.(If we have questions)
Please enter a valid phone number.
10
Email Address of person submitting this information* This field is required.(If we have questions)
example@example.com
Should be Empty: