West County Singles
SUBSCRIPTION MEMBERSHIP FORM – PLEASE PRINT!
Enclosed is my $15.00 (make check payable to Manchester United Methodist Church). Please
add my name as a subscriber to the West County Singles Newsletter. I would also like to
receive a WCS membership card which will be my discount coupon into events in cooperation
with other singles organizations.
NAME: ____________________________________________ DATE: _____________
CITY: ____________________________________ STATE: ______ ZIP: ___________
PHONE: W: ____________________________ H: _____________________________
Please check one:
____ New Member
____ Change of Address
Manchester United Methodist Church
129 Woods Mill Rd.
Manchester, MO 63011-4398