Name Change

The Greater Piney Grove Baptist Church
1879-1921 Glenwood Ave. Atlanta, Georgia 30316
Ph: 404.377.0561 Fax: 404.373.1752
Dr. William E. Flippin, Sr. Senior Pastor, B.A., M.Div., D.Min

Name: Title First Last Suffix
This can be used for changing of last name or if you have received an accolade that changes your name i.e. Dr. , M.Min, etc.
New Name: Title First Last Suffix
This can be used for changing of last name or if you have received an accolade that changes your name i.e. Dr. , M.Min, etc.
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New Phone: (If the same leave leave blank) - (###) - ### ####
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New Address:
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