Interfaith

Indianapolis

Promoting Interfaith Dialogue

Support IAI

INTERFAITH ALLIANCE INDIANAPOLIS

MEMBERSHIP APPLICATION AND RENEWAL FORM FOR THE

Congregation/Organization//Individual Name

Address 

City, State, Zip Code

 ____________________________________________________________

   Telephone #                /                E Mail Address             /                Fax #

Sustaining Membership      $25.00      _____            

Sponsoring Membership  $100.00      _____ 

Supporting Membership     $40.00      _____         

Individual Membership     $  15.00      _____ 

If this is a congregational or organizational membership, please indicate below the

contact person(s) who should receive meeting and program information;

_________________________________________________

Name                                            /                Telephone #

 _________________________________________________

Address                                       /                  E Mail Address

 _________________________________________________

City, State, Zip Code

We value your membership and participation in IAI.

Thank you for your support!

Please mail your check made payable to IAI to:

Carol Niss

IAI treasurer

9222 Garrison Drive, #102A

Indianapolis, IN 46240

317-581-0142

I/We fully support the work and mission of Interfaith Alliance Indianapolis as a

coalition of congregations, organizations, and individuals dedicated to promoting

a better understanding among our peoples and religious traditions. 

I/We do this in a spirit of cooperation and respect.

Signed:  _________________________________________________              

Date:    ___________________________