Membership Form

Membership Form
MCGN MOTTO
TO SERVE OTHERS
The Son of Man did not come to be served, but to serve". (Mt. 20:28)

Complete Name:

Company Name:

Address:

City:

State: Zip Code: -

Country:

Telephone Number: - - -

Fax Number: - - -

EMail Address:

Occupation:

Age Group

Membership Fee:	Annual	Life
Individual	$10.00	$100.00
Family	$50.00	$500.00
Group/Organization	$100.00	$1000.00
Corporate	$200.00	$2000.00

Complete, print and send form with check payable to:
Mizo Christian Global Network
3400 Angel Lane
Placerville, CA 95667

Willing to contribute service?

Typing	Phone Calls	Writing	Giving
Prayer	Making Copies	Mailing	Other

Signature _____________________________________ Date_______________

Rev:Dec98

Complete Name:
Company Name:
Address:
City:
State:	Zip Code: -
Country:
Telephone Number:	- - -
Fax Number:	- - -
EMail Address:
Occupation:
Age Group