Member Contact Form
 
Member Contact Service – Church Fundraiser Form

After completing this form, please print and submit it to your church office.
 
Church Name:
First Name:
Last name:
Address:
City:
State:
Zip Code:
Home phone:
Cell phone: (optional)
 
Member Contact Code:

To obtain your Member Contact Code, please go to the following web site link, membercontactservice.com/membersignuppage.html and click the Premium button.
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