2008-2009 Mareda Membership Form
Name:
Parish Name:
Parish Address
Parish City:
Parish Zip Code:
District:
Office Phone:
Office Fax:
Email address:
If you would like Mareda information sent to a different address, enter it below.
Title:
Responsibilities:
Years in ministry:
Birthdate:
Dues Owed (please choose one):
Full time parish employee: $55
Part time parish employee: $30
Retired & Students: $20
Please make checks payable to:
MAREDA
c/o Barb Gawlik
St Williams Parish
440 Moreland Boulevard
Waukesha, WI 53188
For Office Use Only
Date Received __________________
Check Number __________________
Check Amount __________________
DB Entry _______________________
Mem. card ______________________
