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.
PLEASE PRINT OUT THE FOLLOWING PAGES, FILL OUT AND MAIL IN WITH YOUR CHECK
Today's Date: __________________
Legal Name: ___________________________________________ *DoB: __________
*Date of Birth (optional) is requested so we can send birthday greetings
Legal Name Member #2 (if Family membership): ___________________________________________ DoB: __________
Legal Name Member #3 (if Family membership): ___________________________________________ DoB: __________
Legal Name Member #4 (if Family membership): ___________________________________________ DoB: __________
Legal Name Member #5 (if Family membership): ___________________________________________ DoB: __________
Address: ______________________________________________________
City: ___________________________________________
State:_______
Zip:____________________
Home Phone: ____________________________________
Cell Phone: ____________________________________
Email (1): ___________________________________________________
Email (2): ___________________________________________________
For minors under age 18 only:
___________________________________________________
(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 write your listing exactly the way you want it published. Be sure to include a way
for people to contact you. WRITE LEGIBLY! We are not responsible to errors due to "chicken
scratch."
We have several different types of memberships available to suit your needs. All include full membership benefits, and run for one year (except Lifetime & Incarcerated), with yearly renewal notice sent to remind you
| ________ | Individual: | $20.00 | |
| ________ | Student/Poor Person/Youth (under 18): | $15.00 | (please attach a short note demonstrating financial need OR be sure parent or guardian signs above) |
| ________ | Incarcerated Member: | $00.00 | (runs till 1 year after release) |
| ________ | 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) |
| ________ | 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) |
Spiral Tree Headquarters
P.O. Box 8396, Columbus, GA 31908
cst at spiraltree dot org