New Member Registration Form
St. Stepanos Armenian Church
1184 Ocean Avenue
Elberon, New Jersey 07740

Please print and use one membership form per person. The membership fee is $100.00 per person.  Please make checks payable to St. Stepanos Armenian Church and mailed to the Church address above.

(Please Print)

NAME __________________________________________________________________

ADDRESS ______________________________________________________________

_______________________________________________________________________

TELEPHONE—HOME ______________________  WORK _______________________

E-MAIL _________________________________________________________________

DATE OF REGISTRATION _________________________________________________

MEMBERSHIP DUES FOR THE CALENDAR YEAR ___________________________

OCCUPATION ___________________________________________________________

SPECIAL SKILLS WHICH MAY BE HELPFUL TO CHURCH _____________________

________________________________________________________________________

Are you 18 years of age or over? Yes ______ No ______.  If “no”, on what date will you
become 18 years old and thus be eligible to hold office? ___________________________