Westside Ministers Coalition
4540 W. Washington All Correspondents (773)626-3000
Chicago IL, 60624 POBox 51208 (773)626-3604fax
Chicago IL, 60651
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Rev. Lester Minter Chairman Rev. Lewis Flowers CEO
Tracy Redman Secretary
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Membership Application 2001
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Name Of Organization: ____________________________________________
Address: _________________________________________________________
Phone: ___________________ Fax/E-Mail: ____________________________
Executive Director: ________________________________________________
Contact Person: ___________________ Phone: ________________________
Total Number Of Staff: _______________________ ____________________
Purpose Or Mission: ______________________________________________
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Note: Please complete you membership form. The Westside Ministers
Coalition dues are; $350.00per year or $35.00per Month, or Donation.
Annual Dues:____________________ Semi-Anual Dues: _______________________
Quarterly: ___________________ Monthly: ____________ Donations: ___________
Recieved By: ______________________________________ Date: ________________
Resident: _______________________________________________________________
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Building a better Community-"For All people"