Membership Application

(mail, fax, or call information into the Total Living Center)

You can use our GUESTBOOK to join the TLC also.

Dear Pastor Bartow, I desire to become a 

___ TLC Affiliate Member

___ TLC Member

My Name _____________________________________________ 

Address ______________________________________________

City _________________________________________________

State __________________________________

Zip ___________________________________

Phone _________________________________

E-Mail _________________________________

Thank you and God Bless You.