RSCH - Membership

Become a Member!
Membership Declaration Form:
Name:
Mailing Address:
City:
State & Zip:
Home Phone:
Work Phone:
Email Address:
Birth Date:
Please check appropriate statement(s) below:
[ ]	I want to continue my membership
[ ]	I want to become a member

*Signature:*
Please print form, sign, and fax to (808) 949-1269, or mail to: Religious Science Church of Honolulu, P.O. Box 22448, Honolulu, HI 96823

Last Updated: February 6, 2004