2008-2009 DUES NOTICE

MYWA MEMBERSHIP YEAR

SEPTEMBER 1, 2008  thru AUGUST 31, 2009

INVOICE

Mail Preference:

  Residence  Church

Residence:

Last Name  ____________________________First Name ____________________

Home Address  ___________________________________________________________

City  _______________________State  ___________Zip Code  _______________

Telephone  __________________Fax Number  ______________________________

E-Mail Address  __________________________________________________________

MYWA Committee Affiliation

1)__________________________________

2)__________________________________

Congregation:

Congregation Name  ______________________________________________________

Congregation Address  ____________________________________________________

City  ________________________State  _______________  Zip Code  ____________

Telephone  ___________________   Fax Number  _______________________________

DESCRIPTIONAMOUNT

Current MYWA MembershipPLEASE PAY THIS AMOUNT         $36.00

Please make checks payable to:

 

Michigan Youth Workers Association

Attn: Thomas Agee

P. O. Box 445266

Detroit, MI  48244-0526

NOTE: Membership dues are due January 31, 2009 and must be received and post-marked by that date. Late fees will begin February 1, 2009 and are $4 per month. Dues and late fees not paid by May 2009 will be rolled into your State Youth Conference Registration cost.

Also, a $6 discount will be applied to those members attending the Youth Workers Retreat.

M.Y.W.A. Application