United Methodist Men
"Bridging the Gap"
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United Methodist Men "Bridging the Gap" |
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EMS Registration Form
You may wish to print the following form and send
it to us along with your $30 payment:
I am attaching a check in the amount of $30.00
______ Visa ______ Mastercard Card Number:_______-_______-______-_______
Expiration Date:_______/________ Signature_________________________________
Please make any corrections on the address line below:
Name:
______________________________________________________
Address:
____________________________________________________
City: _____________________________ St ______ Zip ______________
Daytime telephone (_____) _____________
Evening Telephone (_____)_____________
Please fill in your current church information:
Church ID __________________ (If known)
Church Name _______________________________________________
Address ____________________________________________________
City __________________________________ St ______ Zip _________
Mail To: General
Commission on
United Methodist Men
P. O. Box 440515
Nashville, TN 37244-0515
Phone (615) 340-7145 Fax (615) 340-1770
e-mail: awaller-bee@gcumm.org