Church Name:    

 

Address:        

City:                

State:              

Zip Code:        

 

Church Phone:

 

Church Fax:     

 

Church e-mail: 

re-enter e-mail:

 

1st Sustaining Member:

Job Title:            

 

2nd Sustaining Member:

Job Title:            

 

1st Volunteer:   

Position:            

 

2nd Volunteer:   

Position:            

 

3rd Volunteer:   

Position:            

 

4th Volunteer:   

Position:            

 

5th Volunteer:   

Position:            

Enter your comments in the space provided below:

$50 Local Church Package

Use this form to indicate your church's choice of an AUCE Local church package.  A form for the $100 local church package appears above. After you submit your form, you will receive a statement for your dues in the mail.

Church Name:    

 

Address:        

City:                

State:              

Zip Code:        

 

Church Phone:

 

Church Fax:     

 

Church e-mail: 

re-enter e-mail:

 

Sustaining Member:

Job Title:            

 

1st Volunteer:   

Position:            

 

2nd Volunteer:   

Position:            

Enter your comments in the space provided below: