MEMBERSHIP APPLICATION AND RENEWAL FORM
Membership in the Wesleyan-Anglican Society is open to all
who affirm the vision, purpose, discipline, doctrine, and Prayer Book standards
of the Society as expressed in Articles II, III, IV, V, and VI of the
Constitution of the Wesleyan-Anglican Society.*
_____ By my signature, I indicate that I do make
such affirmation per the Constitution.
_____ By my signature, I indicate the renewal of
my affirmation per the Constitution. (If renewing
membership, please
indicate the date you originally joined the Society (if known):
______________
_____ By my signature, I indicate that I no
longer make such affirmation and wish to be removed
from membership.
Date:
___________________ Signature:
___________________________________________
(Please print clearly. Please indicate any information you do not wish
printed in the directory.)
Name:
_______________________________________________________________________
Address:
_____________________________________________________________________
City: ______________________________ State:
__________________ Zip Code: __________
Country: _________________________ Phone(s):
____________________________________
Email:
________________________________________________________________________
Denomination/Jurisdiction:
_______________________________________________________
Please circle one: Laity
or Clergy If
clergy, please indicate order: __________________
(Dues are currently waived.)
RETURN COMPLETED FORM VIA MAIL OR EMAIL TO:
Dr. Todd A. Stepp, President
Wesleyan-Anglican Society OR tstepp@twc.com
1015 Pioneer
Lane
Greenville, IN 47124
*The Constitution of
the Wesleyan-Anglican Society can be found on the Wesleyan/Anglican blog at: https://wesleyananglican.blogspot.com
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