2019 MEMBERSHIP RENEWAL

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2019 MEMBERSHIP RENEWAL FORM

* Indicates required field

Name *

First

Last

Date of Birth *

00/00/0000

Membership Category *

Regular Member Associate Member Honorary Member

Address *

Apt # *

City *

State *

Zip Code *

Email *

Phone Number *

999-999-9999

Emergency Contact - Name *

Emergency Contact - Phone *

Emergency Contact - Email *

Marital Status *

Number of Children *

Occupation *

Anniversary Date *

Ages of Children *

Separate ages by commas

Spouse Name *

Spouse's Date of Birth *

Place and Address of Employment *

I am renewing my SUIHS, Inc. membership because: *

MEMBERSHIP DUES [PAYPAL BUTTON LOCATED AT THE BOTTOM OF THE FORM]

Annual membership dues in the amount of $100 are due by March 31st of the new year. Payment arrangements are offered to accommodate need. Please circle your payment option and agreement:

I am committed to paying my membership dues: *

By May 31, 2018 Monthly by June 30, 2018 Monthly by December 1st My dues have been paid in full

COMMITTEE MEMBERSHIP

All regular members are required, associate members are encouraged to serve on a committee and to support committee efforts and honorary members may join any of the committees but are not required to participate.

I am committed to using my skills to support the following committees: (Check all that apply) *

Economic Development Education & Research Health & Human Service Membership Public Relations Welcome & Hospitality

FEEDING TEAM MEMBERSHIP

All regular members are required and associate members are encouraged to serve on a monthly feeding team of the hungry and homeless and to support feeding team efforts

I am committed to support the following feeding teams: (Check teams that apply) *

1st Sunday 2nd Sunday 3rd Sunday [Breakfast] 3rd Sunday 4th Sunday 5th Sunday

COMMITTMENT TO PROGRAMS

Regular members commit to work and support the following SUIHS, Inc. social service projects or programs. Honorary members may support any of our events but are not required to participate.

Check the programs that apply: *

Rites of Unthaa Ummah Investment Scholarship Graduates & Educators Reception SUIHS Sponsored Iftars Interfaith Health & Human Service Conference General Sadaqah Charitable Drive Fund

MEMBER PROFILE

How long have you been a member of SUIHS? *

Favorite Surah *

What talents and gifts would you like to offer to the organization? *

I have read and agree to support requirements of membership for 2019 in Sisters United In Human Service, Inc.

Signature [Enter Name] *

Date *

CAPTCHA *

I am not a robot.

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About Us
Programs
Support Us
- Volunteer
- Become a Member
DONATE
Contact