Prime Age Seniors Ministry

Membership Requirements

1. You must be age 50 or older.

2. You must:
1. Be a member of the Central Baptist Church or
2. Reside in THE CENTRAL BAPTIST CHURCH community.
3. The following fees are payable:
1. $5.00 per month dues.
2. $20.00 annual assessment fee due by May each year.
3. $1.00 per month for Birthdays of the Month.
4. Christmas Savings Club (optional)
Name

First NameLast Name
Phone Number
Email Address
example@example.com
Birthday

MonthDayYear
Date
Do you need transportation?

YesNo
Do you need other assistance?

Yes (Explain below)No
Should be Empty: