MEMBERSHIP FORM
Welcome to Christian Children’s Resource Harvest Ltd. Please participate in our programs. You
are encouraged to attend our meetings, make advertisements, Sponsor programs or a child,
volunteer or donate. We accept one item or as many as you wish.
Name ________________________________________________________________________
Address ______________________________________________________________________
Village __________________________ City/Town ___________________________________
Home phone _____________________________ Mobile Number________________________
Business phone _______________________ Email address _____________________________
Applicant’s Signature ___________________________________ Date ___________________
YEARLY MEMBERSHIP DUE DATE (1ST JANUARY - 31ST DECEMBER)
New Membership for 6months
Renewal Membership
After six months
Gift Membership
(open)
MEMBERSHIP LEVELS
A
B
C
D
E
F
GOLD
BRONZE
SILVER
TIN
PLASTIC
PLASTIC & WATER
Uganda Shillings
Above UGX 110,000 (
UGX 100,000
UGX 55,000
UGX 35,000
UGX 25,000
UGX 15,000
)
Gold membership has three stages (UGX 110,000 – UGX 490,000), (UGX 500,000- UGX 990,000), (UGX 1,000,000 and above)
State any additional gift, if available _______________________ (Amount_______________)
Adverts, Sponsors and Volunteers have a different form. Please state what you wish __________
All Membership will receive:
 Monthly Email /SMS about their packages.
 Meeting agendas
Return with payment to:
Christian Children’s Resource Harvest Ltd
P.O Box 24360, Kampala. Plot 169, Jinja Road
Kireka Trading centre, Kiira Town council
Wakiso District,Uganda, East Africa
Mobile Money Tel:+256 75 7 308680
Email:[email protected]
www.christianchildrensresource.com
For official Use
Membership Date ____________ Paid Amount ________________ Date paid___________
Children Children’s terms and conditions shall apply.