Membership Form
To insure we have the most current contact information for you, please complete the form below. There is a place at the bottom to select secretariat membership. Couples, each individual must complete this form. Upon completion, a link will appear if you need to submit for a second person.
First Name *
Your answer
Last Name *
Your answer
Email - In an effort to be more environmentally and fiscally responsible, please enter an email so we can communicate electronically as much as possible.
Your answer
Currently, we are communicating via website, Facebook and email. If you prefer postal mail, please check this box so that can be honored.
Street Address, City, Zip *
Your answer
Preferred phone number *
Your answer
Alternative phone number
Your answer
Church and town of church
Your answer
I would like to volunteer my time and/or talents in some way to help. Please check any boxes that apply.
I hereby signify with which secretariat I wish to be member. I also signify that the above information is current. *
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