I would like to receive the following information about GEMS Girls' Clubs:

Promotional Packet (complimentary - no cost)

Curriculum Review Packet (cost $75.00 US, $85.00 CN - Upon receipt of a Membership Application, one half of this amount will be credited to your new club account and all materials are yours to keep. Or, if you decide not to start a club at this time this fee will be refunded in full if the complete packet is returned in saleable condition within 30 days.)

Please send to:

Name

Address

City

State/Province

Zip/Postal Code

E-mail address

Phone Number (preceeded by area code)

Church Name

Denomination

Church Address

Church City

Church State/Province

Church Zip/Postal Code

Church Phone Number (preceeded by area code)