Membership Application for:
2009 Season Pass
*Includes all festivals and Shows of the finest quality + Access to Church Grounds
Please complete in full and send to:
The Church of Universal Love and Music
248 Greenlick Hollow Road
Acme, PA 15610
Phone: 724-547-2525
Fax: 724-547-4405
(Please Print)
Name:_____________________________________________________________________________________________
Address:__________________________________________________________________________________________
City:____________________________________________________State:____________Zip:_________________
Phone:_______________________Alt.Phone:________________________Fax:________________________
Email:______________________________________________________________________________________________
*A valid Email is necessary in order to receive updated info on events.
For credit card orders Name on Card____________________________________
Card #____________________________________________
Expiration date_____________________________________
Card address__________________________Must have ZIP code________
Phone #______________________
$200.00 Donation
*Make Check or Money Order Payable to:
“The Church of Universal Love and Music” (C.U.L.M.)
We most graciously thank you for your generous support and
wholeheartedly welcome you to our church!
Peace, Love, Respect, & Lots of Music
www.ilovemusicchurch.org