O-IACUM Membership Information

Active/Professing Member:  Type

Individual ($15.00 annually), Congregations (Annual Free Will Offering)

Name:

Church name: *
        * If congregational membership, fill in Church address information and * fields.

Address:
City/State/Zip
Phone:

Signature:

(Would you be interested in serving as your local church contact person?
    If not, is there someone you would recommend we contact:

* Council Chair:
* Signature of Council Chair:

* Pastor:
* Signature of Pastor:

* I / We have signed the "Confessional Statement" (date: )
   Enclosed is my /our financial support to further this ministry (Please make checks payable to Cherry Park UMC and mark the "Note" section of your check : O-I ACUM, please)

Print this Form and then Mail

Please return to :  O-I ACUM-Rev. Cindi Greene
1736 SE 106th
Portland, Oregon 97216

"...In the essentials unity, in the non-essentials, liberty, and in all things charity." J. Wesley