UNITED STATES SPIRITIST COUNCIL

Membership Application

Organization's Name


Address


City
State Zip Code

Telefone Fax
Website
Email

Name of Presidente



_________________________________
Signature of President

Membership Fee: $20.00 per month

Please include in your application a copy of your By-laws and Articles of Incorporation.
Make checks payable to: United States Spiritist Council

For additional information please write to:
United States Spiritist Council P.O. Box 14026 Washington, D.C. 20044-4026
or email to: info@usspiritistcouncil.com