Form 19

The [name of the presbytery] has received a petition made by the [name of petitioning body] requesting the organization of a congregation of the Reformed Presbyterian Church of North America to be located in [location], and has granted this petition.

The meeting for organization is intended to include the ordination and/or installation of the following officers, having been elected by the mission church and examined in accordance with the law and order of the Church:

[name(s)] to the office of teaching elder (as applicable)

[name(s)] to the office of ruling elder (as applicable)

[name(s)] to the office of deacon (as applicable).

Notice is hereby given that the day of in the year has been fixed as the time for the organization of this congregation with the ordination and/or installation of the aforementioned officers, with certification that the presbytery will proceed in the same, unless some valid objections be offered to the presbytery, which is to meet at [place of the meeting] on the day of in the year .

The meeting for organization will be held at a.m./p.m., at [place of meeting] .

Given this day of in the year , by order of the presbytery.

Clerk of the Presbytery OR Moderator of the Presbytery OR

Clerk of the Ad Interim Commission Moderator of the Ad Interim Commission