Membership Application

Your name *

Email address *

Address

Phone number

Home Parish

Parish City

Rector

Rector's phone

Rector's email

Membership

I am applying for *

*Friend of the Fellowship: A Friend of the Fellowship shall be a person that supports and is interested in the work of the Fellowship but does not wish to act as a Regular Member of the Fellowship, and/or does not qualify for membership, and does not have to pay dues. He or she will have no rights as applied to other types of membership, but may participate in the work of the Fellowship.

Are you attending a chapter? *

What strengths or talents do you have that you would like to contribute to the Fellowship?

(job skills or training)

Final steps

Have another adult in your household who may want to join? Have them apply separately.

If you have any questions, please get in touch: http://mosestheblack.org/contact

Once you’ve submitted your application, someone will reach out to you with a Welcome Packet.

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