CONN-M-SWAWO, Plus P.K.’s

ANNUAL MEMBERSHIP FORM 2007-2008

 

All member names are posted on the World Wide Web
AME Church Connectional Ministers' Spouses, Widows and Widowers Organization, Plus PK's  WEB SITE

http://www.amemswwpk.org

 

TYPE:  New Membership ______                       Change of Information ______ 
(Renewals do not need to submit a form)

 

NAME: _______________________________________________________________________

 

ADDRESS:  ___________________________________________________________________

 

CITY:___________________________________STATE:  _________ ZIP CODE: ___________

 

PHONE:____________________FAX:________________E-MAIL:_______________________

 

EPISCOPAL DISTRICT:_____________________________

 

PRESENT STATUS CATEGORY: (Please Check One)

 

SPOUSE__________WIDOW/WIDOWER____________P.K._________Other___________

 

 

INTEREST AND INVOLVEMENT: List special interest and skills:  (Circle all that apply)

PUBLIC SPEAKING . ART . MUSIC . DRAMA . COMPUTERS. POETRY WRITING. FASHIONS . .PHOTOGRAPHY . GRANT PROPOSAL WRITING . WORKSHOP PRESENTER . JOURNALISM . .PUBLISHING . ART . INVESTMENTS . FUNDRAISING . MEDIA . LEGAL . COUNSELING . HEALTH . BROADCASTING . OTHER (Specify)__________________________________

 

 

BECOME A MEMBER

THE ORGANIZATION NEEDS YOU!

 

$25.00 Membership Fee

 

Make Your Check Payable To:

Your Episcopal District M-SWAWO Plus PK’s

And

Submit form with appropriate membership fee 
to your Episcopal District M-SWAWO President

 

Click HERE to Find Your Episcopal District President

 

 

For Office Use Only:

June _______     or    December ________