Name:
Address1:
Address2: 
City, St  Zip: 
Daytime Telephone: 
Email Address: 

Please check all that apply to you: 

(Due to financial and logistic constraints, we must limit our WIC mail list to people in the following positions. However, anyone interested in or involved with women's ministry is free to use the Resource Letter information posted on the web site.)

 Local WIC President
Director of Women's Ministry       
- paid staff
- volunteer
PresWIC President
Wife of Teaching Elder

Church Name:
City and State: