Commissioned lay missionary: Commission form

6400. Lay Missionary’s Commission (3490).

This certifies that ____________ has been appointed by the General Board of The Wesleyan Church to service as a lay missionary under the direction of the ___________ Division,* that ____________ has been consecrated to such service by the ____________ District of The Wesleyan Church, and that this commission shall remain in effect throughout ___________ period of service under such appointment and direction as listed on the reverse side of this commission.

By order and in behalf of the district conference of the ___________ District of The Wesleyan Church, this ______ day of _________, AD ________.

___________________________ General Superintendent ___________________________ District Superintendent ___________________________ District Secretary

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^{(*Global Partners or Church Multiplication and Discipleship.)}

^{(This certificate may be renewed annually; and when so renewed, notation shall be made on the reverse side of this form of the date on which such renewal was ordered, and the same shall be attested by the signature of the district superintendent and the district secretary.)}