AMERICAN BAPTIST MEN

OF PENNSYLVANIA AND DELAWARE

MEN'S FELLOWSHIP CHAPTER RENEWAL FORM

Year               Church            Charter No.    

City                   State                 Zip                   

In order that your present Charter may be renewed the following information will be helpful.

1.     Pastor         Address     

                         Zip             

2.     President     Address     

                         Zip             

3.     Vice President     Address     

                         Zip             

4.     Secretary     Address     

                         Zip             

5.     Treasurer     Address     

                         Zip             

6.     Fellowship Chm            Address     

                         Zip             

7.     Growth Chm                    Address     

                         Zip             

8.     Action Chm                    Address     

                         Zip             

Approximately how many men attend your Fellowship Meetings ?                         .

Do you use any of the material from the ABM for your programs: YES  NO                         .

Does your Church sponsor a Scout Unit (Pack, Troop, and/or Post)? YES                  NO                         .

Do you assist in any of these? YES                    NO                   .

Is your charter displayed in a conspicuous place in our church ? YES     NO       .

Does your present charter need replacing? YES                  NO       .

How many men from your local Fellowship attended the last PA & DE Men's Retreat?

Note: It is important to the program of American Baptist Men that this form be returned so that up-to-date records may be kept and communications may be sent to the correct officers on your local fellowship.

RETURN THIS FORM TO:                        STANLEY BRUCE

R.R. # 1   BOX 36

TIOGA, PA            16946-9724