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Group Contact First & Last Name *


Group Contact E-mail


Group Contact Address *


Group Contact City *


Group Contact State *


Group Contact ZIP/Postal Code *


Church or Organization Represented *


Subscription Type *


Select New Subscription or Renewal

Subscription Rate *

Add $2 for subscriptions outside the United States.

Please send the bill to the following. *


Mark one.

Subscriber 1 - Name and Address *


Subscriber 2 - Name and Address *


Subscriber 3 - Name and Address *


Subscriber 4 - Name and Address *


Subscriber 5 - Name and Address *


Subscriber 6 - Name and Address *


Subscriber 7 - Name and Address *


Subscriber 8 - Name and Address *


Subscriber 9 - Name and Address *


Subscriber 10 - Name and Address


Subscriber 11 - Name and Address


Subscriber 12 - Name and Address


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Mennonite Women USA

718 Main Street • Newton, KS 67114-1819 • 316.281.4396 • 1.866.866.2872, ext. 34396 • Fax: 316.283.0454
office@mennonitewomenusa.org