The Church of the Spiral Tree
Membership Form

Plain old-fashioned form that you can print out and fill in, or copy & paste into an email

* = Required Fields

By filling out the following form, I certify that I am of legal age (18), (under 18 fill out section below) and that I will respect myself and others, especially when attending official Church of the Spiral Tree functions.

Today's Date: *Legal Name:
Legal Name Member #2 (if Family membership):
Legal Name Member #3 (if Family membership):
Legal Name Member #4 (if Family membership):
Legal Name Member #5 (if Family membership):

Date of Birth (optional) is requested so we can send birthday greetings
 DoB (main member):
DoB (family member #2):
DoB (family member #3):
DoB (family member #4):
DoB (family member #5):

*Address:
*City: *State: *Zip:

Home Phone:
Cell Phone:
*E-Mail Address (1):
E-Mail Address (2):


For minors under age 18 only:

I certify that my minor child has my permission and approval to join as a member of the Church of the Spiral Tree. I understand that I am responsible for assuring that my child is respectful him/herself and of the beliefs of others and conducts him/herself in an honorable and respectful manner, especially when attending CST functions. (Youth membership only $15.00)

(Signature of Parent or Guardian)


Do you wish to be listed in the Contacts section of the newsletter? If so, please use the space below to type your listing exactly the way you want it published. Be sure to include a way for people to contact you.

Method of Payment:
I will be paying via PayPal momentarily
I will be mailing a check or money order

We have several different types of memberships available to suit your needs. All include full membership benefits, and run for one year (except Lifetime members), with a renewal notice sent to remind you next year.

Individual: $20.00
Student/Poor Person: $15.00 (please attach a short note demonstrating financial need)
Youth (under 18): $15.00 (be sure parent or guardian signs above)
Family (includes kids): $35.00 (must be in immediate family only, same address)
Sustaining Member: $50.00 (receives all benefits plus our undying thanks)
Contributing Member: $100.00 (receives all benefits, our eternal thanks, and a listing in the newsletter once a year)
Patron(ess) Member: $200.00 (receives all benefits, our everlasting gratitude, a yearly listing in the newsletter, and a certificate)
Lifetime Individual: $400.00 (receives all benefits for a lifetime (this life only, sorry!), our everlasting, undying gratitude, a yearly listing in the newsletter (if desired), and a certificate)
Lifetime Family: $500.00 (each family member receives all benefits for their lifetimes (this life only, sorry!), our everlasting, undying gratitude, a yearly listing in the newsletter (if desired), and a certificate)

OTHER:

________ Donation to CST $5 & up (all donations are tax deductible; you will be sent a receipt for your records if requested, as well as our undying thanks)

PLEASE PRINT A COPY OF THIS PAGE FOR YOUR RECORDS, *BEFORE* CLICKING THE SUBMIT BUTTON BELOW!!

When you click the button below, you will automatically be directed to the CST PayPal Membership Payment Page. NOTE: If you just want to mail a check or money order, go ahead and click the button, so your membership info will be sent to us. You can print this page and mail with your payment to the address below. Your membership information that you filled in above will be sent to us automatically.

Spiral Tree Memberships
P.O. Box 8396, Columbus, GA 31908
info at spiraltree dot org



Spiral Tree Headquarters
P.O. Box 8396, Columbus, GA 31908
cst at spiraltree dot org

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