Disciples Peace Fellowship

Membership Renewal and Donation Form

 Yes! I want to share in the work and vision of Disciples Peace Fellowship!

 Enclosed are my annual DPF dues of $__________

$30.00 - Individual dues

$40.00 - Household/Congregation

$10.00 - Students and limited income

 I am including a donation to DPF of $__________

Total Contribution enclosed: $__________

Name_____________________________________________________

Address___________________________________________________

City_____________________________ State______ Zip__________

Local Church_______________________________________________

Send this form with your contribution to:

Disciples Peace Fellowship

Christian Church (Disciples of Christ)

PO Box 1986

Indianapolis IN 46206-1986