Renewal Forms
2009 FCMI Individual Renewal Form
(Membership is from 1/1/2009 to 12/31/2009) (Just print to use)
Last name:___________________________________________
First name:___________________________________________
Home Address:_________________________________________
City:_________________________State:_____ ZIP:______
Telephone: (____)_____________________________
Spouses Name:________________________________
Ministry Name:___________________________________________
Ministry Address:_________________________________________
MinistryCity:______________________State:_____ZIP:__
Ministry Telephone: (_____)___________________
Ministry Position: (pastor, teacher, etc)_________________
Fax:(____)________________
Email:___________________________________________
Web site url:http://_________________________________________
Return renewal form and $50.00 to:
FCMI * PO Box 2165 * Reidsville, GA 30453
20089 FCMI Church Renewal Form
(due from 1/1/2009 to 12/31/2009 ) (Just print to use)
Church name:___________________________________________________
Church (location) Address:________________________________________
City:_______________________________ State:_____ ZIP:__________
Church Mailing Address:__________________________________________
City:_______________________________ State:_________ ZIP:________
Church Telephone: (____)_____________________________
Pastor’s Name:_________________________________________________
Church Fax:(____)________________
Email:________________________________________________________
Web site url: http://______________________________________________
Return renewal form and dues* to:
FCMI
PO Box 2165
Reidsville, GA 30453
*(NOTE)
Dues for churches are $1.00 per member in your church.
(Example: If your church has 126 members your FCMI dues would be $126.00. If your church has 33 members your FCMI dues would be $33.00)