Armenian Church of the Holy Translators

2011 MEMBERSHIP/STEWARDSHIP

Name: __________________________________________________________

Address: ________________________________________________________

City: _______________________ State: ___________ Zip: ________________

Date of Birth: ________________ Occupation: __________________________

I was baptized  ___________________________________________________
                       (Denomination, i.e. Armenian Church, Roman Catholic, Protestant, Other)

My Spouse was Baptized  ___________________________________________
                     (Denomination - i.e. Armenian Church, Roman Catholic, Protestant, Other)

His/Her Date of Birth _______________ Occupation ______________________

Home phone _______________  Fax _______________ Email: _____________

Work/Other   _______________  Fax _______________ Email: _____________

I/We have ____________ children:

Name(s)____________________________ Date(s) of Birth: ________________

Name(s)____________________________ Date(s) of Birth: ________________

Name(s)____________________________ Date(s) of Birth: ________________

My/Our Armenian Church of the Holy Translators Stewardship commitment for 2011 will be:
     _____$3,600 _____ $2,500 _____ $1,200 _____ $600   _____ $300   _____Other (please specify)

I have also enclosed my membership dues for 2011
($175 per adult) $_______ ($100 per senior 65 and older/student 18 – 25) $______

All Pledges to be fulfilled by December 31, 2011
If you would like to make your payment by credit card (MasterCard, Visa, or American Express), please circle
the type of card, write in your card number, expiration date, and the amount you would like charged:

Visa/MC/Amex Acct Number __________________________________________________________________

Expiration Date __________/_______ Amount: $ ___________________________

Signature _______________________Spouse Signature ____________________

Please return your membership/stewardship form and any payments to:
Armenian Church of the Holy Translators
38 Franklin Street
Framingham, MA 01702

Thank you for your support!