HOLLY RESURECTION ROMANIAN ORTHODOX CHURCH

MISIUNEA ORTODOXA ROMANA INVIEREA DOMNULUI

Po Box 1488 Carmichael Ca 95609

  http://www.invierea-domnului.org

REQUEST TO BECOME A MEMBER OF THE CHURCH ASSOCIATION

- application form-

Hereby, I agree to become a member of the Holy Resurection Romanian Orthodox Church Association, having all the right and obligation as a result of it.

Personal information

Name: …………………………………………

Address( optional): ………………………………………

Phone( optional): …………………………………….

 E-mail( optional): …………………………….

DATE                                                                                                  SIGNATURE

………………                                                                                    …………………….

( please fill out this form and mail to the church address together with the yearly fee of $180/person/year or $360/family/year)