Membership Form
To download form click below:
Girl Power Membership
PDF Membership Form
First Name
 M.I.
 Last Name
School Attending in Fall of 2006
 Age
 Grade in Fall
Chaperon's Full Name
Address 1
Address 2
City
 State
 Zip
Email
 T-shirt size
Confirm Email
Daytime Phone
 Evening Phone
What do you want to be when you grow up?
Hobbies
Subjects/Issues you would like to learn more about.
Annual Membership $15.00
EMPOWER 2 PURPOSE Inc
is a non-profit, faith base
organization founded by
Tamala P. Kelly
Thank you for visiting.  
Empower 2 Purpose
P. O. Box 444
Monrovia, CA 91017
(626)215-0964
info@empower2purpose.
com


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