Renewal Forms

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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)