2020 Membership/Stewardship Form
Today's Date *
MM
/
DD
/
YYYY
Last Name *
Your answer
First Name *
Your answer
Spouse's full name -- if married
Your answer
Is your spouse an Orthodox Christian? *
BEST Phone Number to Reach you *
REQUIRED -- Please enter the best telephone number to reach you, starting with the area code (numbers only -- no dashes/spaces)
Your answer
E-mail Address *
REQUIRED -- Please enter a valid e-mail address that you use regularly
Your answer
Mailing Address
(OPTIONAL -- please complete if new or if your address has changed from last year)
Your answer
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