NACAR North American Conference of Associates and Religious


 North American Conference of Associates and Religious

Congregational Membership Form

 

Please Print Clearly:

FULL Name of Religious Congregation: _______________________________________

Contact Person:

                                    Prefix ______________ (Br, Fr, Mr, Mrs, Ms, Sr)

First Name: _________________ Last Name:_______________________  Suffix ______

Title: _____________________________________________________________

Address: __________________________________________________________

City: _______________________________  State/Prov: ____________________

Zip/Postal Code: _____________________  Country: _______________________

Phone (W): (_____)_________  Phone (H):  (_____)_________ Fax: (_____)__________

Email: _________________________________

Congregation’s Charism/Mission Statement: 

            Please limit to 50 words or less – use space below or attach a separate sheet:

 

 

 

 

 

 

 

 

 This is a

                        ________New Membership                     __________ Membership Renewal

 Fees:

(Congregational Membership fees are sliding scale based on total number of Congregational and Associate members)

 

Number of Religious:

 

*It Total Numbers equal:

Number of Associates:

 

125 or less

$150

*Total:

 

126 - 249

$240

 

 

250 – 499:

$330

 

 

499 or more

$420

 Membership Fee                              _______

Additional Membership Directory (includes postage)      $25.00  _______

Additional Subscription(s) to The Associate       $25.00  _______

Free will offering to assist NACAR                         _______

Total Amount Enclosed    _______

Send this form and your check to:   (American dollars only please)

            NACAR
          4321 Elm Street
          East Chicago, IN 46312
        Email:  nacar96@ juno.com

 

1/2007


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 North American Conference of Associates and Religious
Last modified: April 10, 2007