Membership Renewal Form
Kansas City-St. Joseph DCCW MEMBERSHIP FORMName: ____________________________Parish name _______________________________Address: -------------------------------------------------------------------------------------------------------------Telephone #: ______________________ Email address: _________________________Date ______________ Amount Paid: _______________by Cash or CheckBirthday: _____________________________________(month and day only)Amount: $10.00 due. You may pay by cash or check, (make checks payable to Kansas City-St. Joseph DCCW). Dues may be paid in person or you may mail your check to our Treasurer: Kristen Campbell at 7741 Jefferson St, Kansas City, MO 64114-1729US. Renewals are due January 1st (may be paid at the Deember meeting). New members may join at any time.
A copy of this form may be downloaded here.