 | | |
| THE FELLOWSHIP OF CONCERNED CHURCHMEN | ||
| MEMBERSHIP FORM | ||
| I/we would like to: | ||
| [___] become a new member of the FCC | ||
| [___] renew an existing membership in the FCC | ||
| (Please check the appropriate boxes. Memberships are annual.) | ||
| Annual Dues: [___] Individual ($20), [___] Parish/Church ($20), [___] Family ($25) | ||
| NAME(S): | _____________________________________________________________ | |
| _____________________________________________________________ | ||
| ADDRESS: | _____________________________________________________________ | |
| _____________________________________________________________ | ||
| PHONE: | _____________________________________________________________ | |
| EMAIL: | _____________________________________________________________ | |
| PARISH NAME | _____________________________________________________________ | |
| & LOCATION: | _____________________________________________________________ | |
| JURISDICTION: | _____________________________________________________________ | |
| Additional Info for Parishes/Churches Required for Listing in our Directory of Parishes: | ||
| Mailing Address (if different from your parish's physical address or place of meeting): | ||
| _____________________________________________________________ | ||
| _____________________________________________________________ | ||
| Website: | _____________________________________________________________ | |
| Clergy: | _____________________________________________________________ | |
| _____________________________________________________________ | ||
| Sunday Services (please indicate times and types of service): | ||
| _____________________________________________________________ | ||
| _____________________________________________________________ | ||
| Nearest large city and/or metro area: | ||
| _____________________________________________________________ | ||
| [___] | I am/we are communicants(s) in good standing within the Anglican or Episcopal jurisdiction. | |
| [___] | I am not an Anglican/Episcopal communicant, and apply for Associate Membership. | |
| "I/we agree with the purposes and goals of the Fellowship of Concerned Churchmen and the Affirmation of St. Louis. I/we pledge to work and pray for unity and harmony among orthodox Anglicans." | ||
| Signature(s): | _____________________________________________________________ | |
| _____________________________________________________________ | ||
| Thank you for your support. Please make all checks payable in US dollars to "The Fellowship of Concerned Churchmen" and mail to: | ||
| Fellowship of Concerned Churchmen | ||
| 192 Wellesley Drive, Spartanburg, SC 29307 | ||