P.E. Church Net - Family Alliance Intl Form #1

	CHRISTIAN COALITION PRO-FAMILY * PRO-LAW ABIDING * *PRO-MORAL VALUES* * *PRO-LIFE* 63 Main Road Walmer PORT ELIZABETH Eastern Province South Africa Tel/fax (041) 581-2494 Cell (082) 804-4007 email ashleyr@intekom.com
Protecting Christian Family Values

PRO-FAMILY GROUP ENDORSEMENT FORM

I/We the undersigned endorse the Christian Coalition of South Africa, having agreed to their VlSION and MISSION. I/we furthermore wish to add our voice to your National Influence Initiative to gain protection for the FAMILY through legislation. Please present your vision to our church congregation/ organisation and leadership.

Name of Church/Organisation/Business:

Number of Churches/Branches under your control:

Affiliated to:

Total Number of Members:

Province:

Postal Address:
                                                                                                                   Postal Code

Telephone:  (               )

Fax No:  (               )

e-mail:

Cell No:

My Church/Organisation is willing to make a financial commitment of R..............per month
(See FAMILY VALUE SUBSCRIBERS PAYMENT FORM - Ref: CC/FORMS/523)                                                  Y | N

Name:

Position:

Signature:

Date:

at

For Office Use only:
Entered onto Computer ...................................................... Date: ......................................................

Please print out this form, fill in and post to:
CHRISTIAN COALITION
63 Main Road
Walmer 6070.
Port Elizabeth, SOUTH AFRICA.

REF: CC/FORMS/522

Click here for family value subscribers payment form.

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P.E. Church Net has posted this page to support the Christian Coalition in their work of upholding Christian Family Values. Content is extracted from Christian Coalition promotional literature.

last updated 7 July 1999

Name of Church/Organisation/Business:
Number of Churches/Branches under your control:
Affiliated to:
Total Number of Members:	Province:
Postal Address: Postal Code
Telephone: ( )	Fax No: ( )
e-mail:	Cell No:
My Church/Organisation is willing to make a financial commitment of R..............per month (See FAMILY VALUE SUBSCRIBERS PAYMENT FORM - Ref: CC/FORMS/523) Y \| N
Name:
Position:
Signature:	Date:
at