Your Name:

Community of Faith or Faith Tradition:

Email Address:

Mailing Address:

City, State, Zip:

Phone:

Membership Dues (please check one)

___ Individual ($25)
___ Community of Faith (Please use formula of $0.50 per member and list the three members who will represent you at the Annual Meeting.)
                           _________________________
                           _________________________
                           _________________________
___ Specialized Ministries ($100)
___ Institutions of Higher Education ($100)
___ Ecumenical Organizations ($100)

Total Membership Amount: $_______________

___ Additional Tax-Deductible Contribution: $_______________

Total Amount Enclosed: $_________________

Make your check payable to the Inter-Religious Council and mail to 1035 Third Avenue SE, Suite 205
Cedar Rapids, IA.

Your donation will be used to further the mission of the Inter-Religious Council of Linn County, which is to provide means for people of all faiths to promote understanding and respect, and to work with the community for the spiritual, moral, social and civic welfare of Linn County. Our vision is to provide inspiration and programming in order to foster a caring community in which honesty, respect and responsibility are celebrated. Thank you.