WM Connect Form

ANNUAL CHURCH CONNECT FORM

SOMO WOMEN'S DEPARTMENT
CONNECTING CHURCH Details:
CHURCH NAME
CHURCH CITY
WM COORDINATOR'S NAME

First NameLast Name
HOME MAILING ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE NUMBER
Format: (000) 000-0000.
E-MAIL
example@example.com

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2026 CONNECT FEE

The $20 fee helps with administrative costs and mailings to you during the year. This fee also allows your church to take advantage of the CONNECTED rate for our annual conferences.

$20.00

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

ANNUAL CHURCH CONNECT FORM

CONNECTING CHURCH Details:

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