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Date January 31, 2016 (Please circle) 40s 50s 60s Retired Mr. /Mrs. /Ms. 30s Address Street City Zip Email 20s Telephone I am a member of the Church. Check if new address. Please check: I am new in
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Start by writing the month, which is "January."
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Write the day of the month, which is "31."
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Include the year, which is "2016."
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