FREEDOM PARK SDA CHURCH

AMO MEMBERSHIP FORM

Main Objective: outreach programmes Lay preaching Community service Prison minis

NAME. AGE RESIDENTIAL ADDRESS.. BAPTISED. YES NO SINGLE NO SELF EMPLOYED RETIRED DIVORCED WIDOWER

MARITAL STATUS. MARRIED IS SPOUSE A MEMBER OF SDA. YES

NATURE OF EMPLOYMENT. EMPLOYEE

PROFESSION.. TALENT..... SPIRITUAL GIFT Affiliation fees (annual) K 50.00 Monthly subscription K 5.00

I PLEDGE to dedicate my time and resources in pursuit of all in reach and outreach programmes of AMO. And to abide to all the rules and requirements as per attached AMO guideline document.

FREEDOM PARK SDA CHURCH

LIST OF POTENTIAL MEMBERS PRIORITY 1. Paid up members for last year 2012. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Liyungu Walubita Br Twuumasi Elder Mukonka Br Siamuhuma Br Liyungu Br Mwewa Br Namiluko Br Munasha Br Mupewo Br Sikazwe Br Muyembe Br Masaka Br Shimbeza Br Mulomba Br Nyirenda Br Mwenda br Mwemba Elder

PRIORITY 2 Attendants but not paid up for 2012 18 19 20 21 22 23 24 25 Chikumbe Br Nalishuwa Br Chikanga Br Mwinga Br Maposa Br Muwowo Elder Muwowo Br Mukoto Br

PRIORITY 3 Other interests 26 27 28 29 Siantale Elder Kyonzwela Br Mwape Br Mguni Br

FREEDOM PARK SDA CHURCH

30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 Ngandu Br Kapita Br Sibajane Br Kalutwa Br Sinkamba Br Hanguwa Br Ikatanga Br Zimba Br Mwelwa M Br Kalutwa Br Banda Moffat Br Mukula Br Mulela Br Banda Moses Br Masuzyo Br Lungu Br Nshimbi Br Mbulo Br Mokola Br Moonga Br Mudenda Br Mukumbuta Br