* SPECIAL OFFER * GIFT Membership Form
Please print, fill out and send with check to:
Women's Ordination Conference • P.O. Box 2693, Fairfax, VA 22031
or you can fax to 703-352-5181 if using a credit card

Your Information

Name: _______________________________________________________________

I am giving ______ (fill in number) gift memberships

First Gift: ___ $40 Second Gift: ___ $20 Third Gift: ___ $20 Fourth Gift: ___ $20

Act now -- Offer expires November 1, 2007!

I am enclosing an additional gift of:
___ $25   ___ $35   ___ $50   ___$100   ___ Other $______

I am paying by:

______ Check (payable to WOC) ______ Credit Card ______ Money Order

I am using the following Credit Card: ______ Visa ______ MasterCard

Credit Card #: ________________________________ Expiration Date: ________

Name as it appears on card (print):_______________________________________________________________

Address associated with credit card:

Street Address_________________________________________________________

City, State, Zip: _______________________________________________________

Phone: ______________________________________________________________

Email: _______________________________________________________________

 

Gift Member Information

Name: _______________________________________________________________

Address: _____________________________________________________________

City_______________________________________State_______Zip: ___________

Day Phone: ______________________ Evening Phone: _____________________

Email: _______________________________________________________________

Gift member is called to ordination:

____ Yes ____ No ____Maybe ___ Not Sure

____ Gift member is in her/his 20's or 30's and would possibly like information about Young Feminist Network.

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© Women's Ordination Conference, 2007