WUMFSA Membership Form


Act Now For Social Justice!

I would like to join WUMFSA.
     Just check the line if you are sending the stated dues.
     If you're sending a different amount, show that amount in the blank to the right.
I enclose:

_____$500 Stellar Membership Gift
_____$200 Spirited Membership Gift
_____$150 Supporting Membership Gift
_____$100 ***Sustaining Membership Gift
_____$60 Subscribing Membership Gift
_____$____ Set your own membership gift amount.
_____ I am unable to give to WUMFSA financially at this time but would like to be a member.

Membership in WUMFSA is not predicated on financial gifts. Any amount of money you are able to give is gratefully accepted. If you are unable to give at this time, please feel free to indicate your interest in becoming a member.


______  My check for the above total is enclosed.

Name:     __________________________________________
Address: __________________________________________
               __________________________________________
Daytime Phone: ___________________ Evening Phone: ___________________
E-mail: ___________________________.

All contributions to WUMFSA are tax deductible. When you join WUMFSA, your dues are shared with the national Methodist Federation for Social Action.

send to: WUMFSA
           Frank Gaylord, Treasurer
           PO Box 259855
           Madison, WI 53725


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