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I would like to renew my membership with the Christian Spiritualist Church at 461 E 6th Street, Erie, PA 16507. I understand that with affiliation with the H.P.A. that the current annual membership dues are $12.00 per person. I also understand that I may make arrangements with the Board of the Directors to contribute in other ways if necessary as per the Christian Spiritualist Church By-laws.
Name: ________________________________________
Address: _______________________________________
Phone: ________________________________________
Signature: _______________________ Date: __________
Signature: _______________________ Date: __________
(forms must be returned by March 31)
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