2025 REVIVAL WOMEN LEADERS ORGANIZATION (RWLO) MEMBERSHIP FORM
Please complete this for to declare membership status in RWLO
Full name *
Date of Birth *
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Phone number *
Email address *
Residential Address *
Occupation *
Marital Status *
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Church Affliction *
Do you hold any leadership position in your church? *
If Yes to previous question please specify:
INTEREST & PARTICIPATION Please check the areas where you would like to participate *
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MEMBERSHIP FEESMonthly Welfare Dues: $20 *
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Preferred method of payment: *
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DECLARATIONI [ Full Name ], hereby declare that the information provided is true and correct to the best of my knowledge. I understand and accept the vision, mission and values of RWLO. I commit to being an active member and to support the organization’s goals.PRINT FULL NAME TO SIGN *
Date of Complete
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