Renewal Forms

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2012 FCMI Individual Renewal Form

(Membership is from 1/1/2012 to 12/31/2012)   (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


 

 

2012 FCMI Church Renewal Form

(due from 1/1/2012 to 12/31/2012 )  (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 $$50.00 for churches with 1-25 members; $75.00 - 26-50 members; $100.00 - 51-75; $150.00 for 76-199 -and $200.00 with 200 and more members.