| ____________________ | ______ | _____________________________ |
| FIRST NAME | MI | LAST NAME |
| ___________________________________________________________ | ____________________________ |
| MAILING ADDRESS | APARTMENT NUMBER |
| __________________ | _________________ | ____________________ |
| CITY | STATE/PROVINCE | ZIP/POSTAL CODE |
| ________________________ | ____________________________ | |
| HOME PHONE | WORK PHONE |
| E-MAIL ADDRESS | ________________________________________ |
| ________________________________ | ________________________________ | |
| DATE OF BIRTH AND AGE | TRIBE(S) |
Your membership dues will include the following:
v Discounts on Annual Conference fees
v Subscription to the Cross and Feathers newsletter
v Nominating & Voting privileges for Board of Directors elections
v Membership to an International Native American Catholic Organization
v Share in the Prayers offered for members
Annual Membership Dues:
U.S.A. Seniors (55+) $15.00
U.S.A. Adults (18-54) $20.00
All Organizations $20.00
Outside U.S.A. $20.00 in U.S. Funds only
*Please make U. S. Checks or U. S. Money Order payable to:
TEKAKWITHA CONFERENCE NATIONAL CENTER
We give thanks to God for all of you (1 Thessalonians 1:2)
Please print out, complete, and mail to:
Tekakwitha Conference National Center
P.O. Box 6768
Great Falls, MT 59406-6768
*Please Remember to Include Full Payment for Dues*