Western Pennsylvania Conference

The United Methodist Church

The Advance for Christ and His Church

Mission Personnel Acceptance Form

This form to be used to establish an agreement to participate in a support relationship with any WPA Conference Mission Personnel  (Either a former 10-10-10 missionary or future missionary)

Date completing form__________________________                   Date to Begin Relationship______________

Conference Name_____________________________                   District Name_________________________

Name of Church______________________________                   Church Membership___________________

Church  Address___________________________________________________________________________________

                        Street                                               City                                          State                    Zipcode

Pastor’s Name___________________________________             Church phone:________________________

Contact Person__________________________________              Telephone:___________________________

E-mail:____________________________

 

   *If this is a redesignation, please indicate missionary formerly supported ___________________                 

1.)  Standard commitment:    3 years__________________         Other (specify)________________________

2.)  Prayer and Correspondence commitment:  Our Church will correspond with regular letters, notes or newsletters about the activities and needs of our congregation.   The depth of our commitment will be

daily, ___________    weekly, __________ monthly, ___________ or quarterly, _____________ . 

                                                                                                                                                            Page 2

For United Methodists Individuals:  Make your check payable to your local church.  Write the name of the missionary and if you know it the Advance code number on the check.  Give your gift to your church treasurer, who will send it to your conference treasurer for Advance credit.

For United Methodist Church Mission Committees and Local Church Treasurers:  Committee treasurers make your check payable either to your local church or to the “Western PA Conference”.  Local church treasurers make check payable to the “Western PA Conference”.  Mail checks with the remittance form to the United Methodist Center, P.O. Box 5002, Cranberry TWP, PA  16006.

OR

For Non-United Methodists:  Make your check payable the missionary you want to support and send it directly to their ministry office.  If you want to send it to your denominational office please be sure to designate it clearly with their address for them to pass it on to the missionary.

                                                                                        OR

You many send it to the ADVANCE GCFA.  Write the name of the missionary and the Advance code number on the check.  Send your check to Advance GCFA, P. O. Box 9068, GPO, New York, NY 10087-9068.

OR

By credit card: Call (888) 252-6174.

Mail copy of completed form to:

1.)  CCMP Chairperson, Rev. Dr. Merritt Edner, 107 Coldren Street, Johnstown, PA 15904 814-266-3964 and 814-266-4330  belmontumc@verizon.net   

2.)  Conference Secretary of Global Ministries, Rev. Dale R. Shunk, 238 Meadowbrook Drive, New Wilmington, PA. 16142

      (office, fax)  csgmwpa@hotmail.com

__________________________________________________________________________________________

FOR OFFICE USE ONLY

Jurisdiction__________________________

Conference#_________________________

District#____________________________

Church#_____________________________

( Revised 10-18-06)