Desert Southwest Conference
Desert Southwest Conference Clergy Change of Home Address Form Name: _____________________________________________________________________ Home Address: _____________________________________________________________ City: _________________________________ State: __________ Zip Code: ____________ Home Phone: __________________________ Cell Phone: ___________________________ E-Mail Address: ______________________________________________________________
Annual Conference Membership Status (Please check one) Full Member Elder Deacon Retired Leave of Absence Sabbatical Disability Leave
Associate/Affiliate Member Associate Member Affiliate Member
Provisional Provisional Member Provisional Elder Provisional Deacon Local Pastor Full-time Part-time Retired Lay Person Lay Person Assigned Other Relationships to Conference Member of another Conference Member another Denomination
Please return this form in one of the following ways: 1. While at Annual Conference you may do one of the following: a. Place the form in the tray at the forms table which is in the Media Center. b. Give the form to Cynthia Satchel. Or 2. After you leave Annual Conference you may do one of the following: a. Mail form to Cynthia Satchel, United Methodist Center. b. E-mail her at [email protected]. In order for your new address to appear in the journal your new address must be received on or before July 1.
Annual Conference Membership Status (Please check one) Full Member Elder Deacon Retired Leave of Absence Sabbatical Disability Leave
Associate/Affiliate Member Associate Member Affiliate Member
Provisional Provisional Member Provisional Elder Provisional Deacon Local Pastor Full-time Part-time Retired Lay Person Lay Person Assigned Other Relationships to Conference Member of another Conference Member another Denomination
Please return this form in one of the following ways: 1. While at Annual Conference you may do one of the following: a. Place the form in the tray at the forms table which is in the Media Center. b. Give the form to Cynthia Satchel. Or 2. After you leave Annual Conference you may do one of the following: a. Mail form to Cynthia Satchel, United Methodist Center. b. E-mail her at [email protected]. In order for your new address to appear in the journal your new address must be received on or before July 1.
