Saints Constantine and Helen Greek Orthodox Church
36375 Joy Road, Westland, MI, 48185 Tel. (734)525-6789 Fax: (734)525-3989 Website: stcons.org Email: stcons2@gmail.com
MEMBERSHIP INFORMATION
NAME
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Cell Phone
Email
example@example.com
Date of birth
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Month
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Day
Year
Date
Orthodox Christian (select below)
Please Select
Yes
No
SPOUSE:
Name
Cell Phone
Email
example@example.com
Date of birth
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Month
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Day
Year
Date
Orthodox Christian (select below)
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Yes
No
Home Address
Street Address
Street Address Line 2
City/State/Zip
State / Province
Postal / Zip Code
HOME PHONE
2023 Pledge Amount. Please complete pledge amount, even if there are no changes from last year.
*
DIRECT DEBIT: Please contact me to set up a direct debit schedule (or one-time gift) from a bank or
PLANNED GIVING: I have included/plan to include the church in my will. Please contact me for more
Child #1
Date of Birth
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Month
/
Day
Year
Date
Orthodox Christian (select below)
Please Select
Yes
No
Child #2
Date of Birth
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Month
/
Day
Year
Date
Orthodox Christian (select below)
Please Select
Yes
No
Child #3
Date of Birth
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Month
/
Day
Year
Date
Orthodox Christian (select below)
Please Select
Yes
No
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