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Individual Membership Application
Please complete this Individual Membership Application form. An Invoice will be emailed to you via PayPal for your annual dues. The membership year is January 1 - December 31.
Phone Number
Parish Name
New Members: Who is your ACCW sponsor or Pastor/Administrator? Others: Please write "Renewal"
Please enter a contact phone number and e-mail address for your ACCW sponsor or Pastor/Parish Admin
Would you like to purchase an ACCW scarf for $15?
Would you like to purchase an ACCW name badge for $5?
I agree to allow my image to be used on ACCW print materials, Web site, and Facebook page.
I agree to have my contact information printed in the ACCW Membership Directory.
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