Campbelltown Spiritualist Church

Membership Form

 

I apply for membership to the Campbelltown Spiritualist Church and I agree

to abide by the Constitution and Code of Conduct of this Church.

Name: ……………………………………………………………………………………..

Address: …………………………………………………………………………………..

………………………………………………….…… Post Code: ………………

Phone: …………………………………… Mobile ……………………………………...

Email: ……………………………………………………………………………………..

Signed: ………………………………………….…… Date: ……………………………


Renew Membership Yes.... No....  

Membr No ...................................                        New Membership Yes..... No.....

Number of years, 1, 2, 3, 4, 5.