United Methodist Men
Date___________________
Application for:
. . New Charter ____
. . . Annual Recertification of Charter____
Amount Sent $_______
Method of Payment: Check___ Money Order___ Visa___
. . .
. . .Card Number________________Expiration Date__________
UM Church Code (if known) _________________________________
Church __________________________________________________
Address__________________________________________________________
Pastor's Name____________________Phone Number____________________
Conference CAL-PAC
UMM Fellowship:
President's Name________________Phone Number___________________
Address_____________________________________________________________
Secretary's Name_________________ Phone Number_________________
Address_____________________________________________________________
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Mail to: General Commission on United Methodist Men
. .P.O. Box 340006, Nashville, TN 37203-0006