ARCC Membership & Donation Form (Please print, complete, and mail)

Please check:

MEMBERSHIP APPLICATION: Please write legibly, preferably in capital letters, and mail it with a check made out to ARCC to

ASSOCIATION FOR THE RIGHTS OF CATHOLICS IN THE CHURCH
P O Box 6512,
Helena, Mt  59604-6512  
U.S.A.

Salutation (Mr/Mrs/Ms/Sr/Br/Rev/Dr): _______
Last Name:____________________________
First Name:____________________________ Middle Initial:________

Address:_______________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ City:____________________________ State/Prov:_____
Post Code:_______________ Country:_____________________________________________________________

Phone #: (_____) _______________________
Fax #: (_____) _______________________
Email: ______________________________________________

Membership enclosed:

___ ARCC Lifetime Membership ($500)

+ Tax Deductible Donation:____________________
= Total payment enclosed: ______________________

Any comments or information about yourself that you would like to share with us: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________