Name of Organization: _______________________________________
What do you “Do” in your Organization:_________________________ Briefly tell us what your Organization Purpose is: __________________ __________________________________________________________
Email: _________________________ What Committee would you like
join: ______________________________ Brief purpose on why you want
to “join” the Coalition: _______________________________________
_________________ What can you bring to the WMC and what are your
“Gift’s”____________________________________________________ If you need more room feel free to right on the back……… Renewing Membership ____ New Member ______
**Please complete your membership application** The Westside Ministers Coalition dues are as follow:
○ $500.00 a year – Corporations ○ $350.00 a year – Churches, businesses, organization, agencies, etc….. ○ $100.00 a year – Community resident
Received by: ____________________ Date: ___/___/___
General Membership Meeting Every 1st Thursday of the month; 10:00 am, at the Columbus Park Refectory 5701 W. Jackson Blvd. Blaire Wallace Director, Dr. Phalese Binion President