INDIVIDUAL MEMBERSHIP  ($15.00 annually)

Name:       ________________________________
                 [  ]  Clergy            [  ]  Lay

Address:    ________________________________

City:          _____________________________ , WI

Zip:           __________        Date:  ___ / ___ / ___

Signature:  ________________________________    
                 I/We have read and I/we affirm the Confessional Statement

Enclosed is my/our financial support made payable 
to "WACUM" to further this exciting ministry. 

CONGREGATIONAL  ASSOCIATION  (annual free-will offering)

Church Address:   ________________________________

City:                     _____________________________ , WI

Zip:                      __________        Date:  ___ / ___ / ___

Chairperson:        ________________________________

Signature:            ________________________________    
                             We have read and I/we affirm the Confessional Statement

Enclosed is our financial support made payable 
to "W.A.C.U.M." to further this exciting ministry. 

Our purpose in ministry is to confess Jesus Christ as Lord and Savior 
in our lives, our congregations, and the United Methodist Church in Wisconsin

Wisconsin's Confessing Movement
P.O. Box 628011;  Middleton, WI  53562