MEMBERSHIP FORM

Mail this completed form and your check (payable to the Singing Churchmen) to:
 
George Haltiwanger
112 East Main St.
Moncks Corner, SC 29461
(call if questions: 843-761-8116) or Bring this form to any Churchmen function

Your Name:__________________________________________________

Your Church:_________________________________________________

Your Association:______________________________________________

(circle preferred mailing address)

Church Address:_______________________________________________
City:____________________________________ Zip:_________________
Church phone: (___)_____________ Church fax: (___)___________

Home Address:________________________________________________
City:____________________________________ Zip:_________________
Home phone: (___)_______________
Cell phone: (___)_________________

E-mail Address:__________________

Voice Part:  Tenor 1  Tenor 2  Baritone  Bass

Instruments you play:____________________________________________

  $25 dues     $20 shirt      Total amount enclosed: $_______________

Please make checks payable to the Singing Churchmen.