Western North Carolina Conference
The United Methodist Church

Brotherhood/Sisterhood

District: *

Phone:

Specific Amount

Street Address *

City, State, Zip *

Choose one of the following: *

I will give $6.00 upon each notice of death.

I will give $90.00 each year. ($6.00 x 15, or the number of death notices. You will receive an annual notice of the names of the deceased for each year.)

Specific Amount (Enter Specific Amount below)

E-Mail: *

Following is my application for membership in the BH/SH and I will assist in the following way.

Church: *

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Name: *