| Administrative
Field: |
Parent Field: South Brazil Union Conference
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| Name: |
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| Alternate Name:
(if different) |
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| Entity Type: |
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| Location |
Country:
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Street Address
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Line 1:
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If needed customize the address for
your country's mailing system:
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Line 2:
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City:
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State/Province:
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(US/Canada)
(non-US/Canada) |
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ZIP/PostalCode:
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Country:
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Mailing Address
(leave blank if same as Street Address)
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Line 1:
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If needed customize the address for
your country's mailing system:
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Line 2:
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City:
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State/Province:
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(US/Canada)
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ZIP/PostalCode:
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Country:
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| Contact
Information |
| Phone: |
(important) |
| Fax: |
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| E-mail: |
(important)
(Should not be a personal
e-mail address) |
| E-mail Name: |
(Name of position or individual
for e-mail) |
| Website: |
http://
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| Cable |
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| Telex |
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| Other
Information |
| Membership or Enrollment: |
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Hours Open /
Service Times |
(For example: Monday - Thursday: 9:30 am - 5:30pm; Friday: 9:30 am - Noon.)
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| Language(s): |
(primary)
(secondary) |
| Directions: |
Map:
(US, Canadian, and some other address will be linked to online maps, if available.)
(Images should be .JPG or .GIF files no larger than 300 pixels wide by 300 pixels tall. See Picture {below} for more information.)
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Additional Information:
(description/history/etc.) |
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| Picture: |
Images should be a .JPG or .GIF file
(Please resize the picture to 160 pixels
wide by 120 pixels tall. Must be a .JPG or .GIF file.)
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| Location: |
Latitude:
Longitude:
Source:
Zip/Postal Code (Street)
Custom Lat/Lon
From Custom Zip/Postal Code
(Please resize the image no larger than 160 pixels wide by 120 pixels tall. Images can be easily resized with the free download, Irfanview. To resize an image, just choose Image > Resize/Resample from the menu, and change the width and height.) |
| Options |
Show Entity in online directory |
| Submission
Details |
| Your Name: |
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| Your Position/Title: |
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| Your E-mail: |
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| Your Phone #: |
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| Comments: |
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