.: become a member

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This information given on this form indicates the desire of the named church, minister and membership to affiliate with the National Association Council of Community Churches of America and Elsewhere, Inc., and to abide by its constitution and by-laws, not conflicting with the constitution and by-laws of this church.

  Name of Church:
Church Address:

City: State: Zip Code:
Number of Members:

Telephone:

Minister's Name:

Minister's Address:

City: State:   Zip Code: