AFFILIATION FORM
Help us to serve you and others most effectively. Please take a few minutes to provide information that will be accurate and helpful to all who seek, whether or not your Group is still meeting.
______________________
(Today's date)
_____________________________________
(Name of person filling out this form)
Please return form to:
Susan Daniel - ARE Southeast Region
15335 County Road 9
Summerdale, AL 36580-4227
GROUP I.D. NUMBER: __________________
GROUP NAME: _________________________
(New Groups will receive official status
when we receive the new affiliation form.)
Meeting Day______________Time_______
Our Group is: (Circle one)
NEW /RE-AFFILIATING / INACTIVE - We plan to start again:
REACTIVATED / DISBANDED - Our Group no longer meets because:
Our Group name has changed. It is now _________________________________________
Group Chair/Contact_____________________________ Phone ( ) ______________
(Please print) ________________________________________________________________________
(Street, Apt/Unit #) (City/State/Province/Zip/Country)
Fax ( ) _______________ E- mail_______________________________
For NEW GROUPS: Provide complete Group information on next page.
Have you new members since your last affiliation? Note names on next page.
Our Group has approximately _____ participating members.
Donations are voluntary. At the same time, the work of the Search for God Program depends upon the support of Groups like yours. If you choose, a collection can be made available at each meeting. Donations may be sent: 1/3 to region; 1/3 to A.R.E. Headquarters; 1/3 kept by Group for service projects. Please make checks payable to A.R.E., Inc. or to your Region, with a memo notation Search for God Program. Members donate without pressure, as they are able. Support in the form of prayer for this work is sincerely appreciated.
(Q) Any message for the group as a whole? (A) As ye have received, as ye are moved, as ye apply that ye receive, give to those that seek. 262-98
If your group is within the United States, Canada, or a country with more than one Spiritual Growth group, having the names and addresses of group members can make it possible for those in a center, province, or region to send everyone in the group notices of activities within your area.
Thank you for printing.
Name: Name:
Address: Address:
City/State/Zip/Country: City/State/Zip/Country:
Phone: ( ) Phone: ( ) Fax: Fax:
E-mail: E-mail:
Name: Name:
Address: Address:
City/State/Zip/Country: City/State/Zip/Country:
Phone: ( ) Phone: ( )
Fax: Fax:E-mail: E-mail:
Name: Name:
Address: Address:
City/State/Zip/Country: City/State/Zip/Country:
Phone: ( ) Phone: ( )
Fax: Fax:E-mail: E-mail:
If additional space for names is needed, please include them on another piece of paper.
We welcome your suggestions, ideas or comments as to how we may better serve your group's needs. Please include suggestions of materials your group would find useful:
HELP US to be accurate and helpful to those we serve. If your group changes chairperson, address, phone number, or disbands, PLEASE LET US KNOW.
Revised 7/03