Home Dedication

Congratulations on your new home! Please complete the form below for your home dedication request. Please note - we will make every effort to meet your request; however, we may not be able to in certain circumstances.

Contact Details

1. Name

2. Contact Phone Number

3. May we text you? YesNo

4. Email

5. My Deacon is Ray BowensDr Patrick BradleyEdward Cherry JrGreg CodyVaughn DearyRobert DelaneRon FisherJody GrastyMarvin HarrisRonn HicksReggie JohnsonKelvin LandReggie LondonLouis MabinTed McClennonKerch MilsonChristian MooreLeroy PettewayJoe PindellLeon PotterJimmie PrinceDonald RobertsonLester RobinsonWillie ScalesMichael SidberryJerome SpeikesToronto SpikesJohn ThompsonVincent VannMark WilcoxLloyd YoungSteve Young

Address for Home to be Dedicated

1. Address

2. City

3. State TexasAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--District of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands

4. Zip

Please provide at least ONE CHOICE for your request

Choice 1

1. Month (MM) JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

   Day (DD) 12345678910111213141516171819202122232425262728293031

   Year (YYYY) 2023202420252026




2. Hour (HH) 123456789101112

   Minute (MM) :00am:15am:30am:45am:00pm:15pm:30pm:45pm




3. Option 1 Day of the Week SundayMondayTuesdayWednesdayThursdayFridaySaturday

Choice 2

1. Month (MM) JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

   Day (DD) 12345678910111213141516171819202122232425262728293031

   Year (YYYY) 2023202420252026




2. Hour (HH) 123456789101112

   Minute (MM) :00am:15am:30am:45am:00pm:15pm:30pm:45pm




3. Option 2 Day of the Week N/ASundayMondayTuesdayWednesdayThursdayFridaySaturday

Choice 3

1. Month (MM) JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

   Day (DD) 12345678910111213141516171819202122232425262728293031

   Year (YYYY) 2023202420252026




2. Hour (HH) 123456789101112

   Minute (MM) :00am:15am:30am:45am:00pm:15pm:30pm:45pm




3. Option 3 Day of the Week N/ASundayMondayTuesdayWednesdayThursdayFridaySaturday