Date________________________________________________________________

First Name ___________________________________________________________

Last Name ___________________________________________________________

Address ______________________________________________Apt. # __________

City _________________________________________________Zip _____________

Home Phone (__)___________Work Phone (Optional)_(___)____________________

E-Mail_______________________________________________________________

Interests:_______________________________________________________________

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The Senior Society meets every 4th Saturday of each month from 10 a.m.-12 noon. Unit I meets every 3rd Sunday of each month from 9:30 a.m.-10:30 a.m. Membership fees are $36.30 per year due in September of each year. Come join us and make a commitment to the Lord.

If interested in joining, please give this form to an Usher or any member of the Women’s Missionary Society.

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