Confessional Lutherans for Christ's Commission (CLCC)
Individual Membership Application
Membership Type:
Individual ($30/year)
Family ($50/year)
Title:
(none)
Mr.
Mrs.
Ms.
Dr.
DCE
Kantor
Pastor
Reverend
Seminarian
Name:
Phone:
Email Address:
( If Family Membership: )
Spouse Name:
Spouse Phone:
Spouse Email Address:
Street Address:
City, State, Zip:
Home Church:
Church City/State or Address:
Synod/Affiliation:
Are you a member of another confessional organization?
If so, which one(s)?
Gifts or talents you might like to use in CLCC:
Comments or Questions: