Request for Letter of Transfer (In)

To the Rector or Vicar of:
 

Church_______________________________________________________
 

Street________________________________________________________
 

City_____________________ State_______________ Zip______________
 

Please Send an official Letter of Transfer for me / us to:
 

Church_______________________________________________________
 

Street________________________________________________________
 

City_____________________ State_______________ Zip______________
 

Signed _______________________________________________________
 

Print Name____________________________________________________
 

Effective date of transfer from church now leaving___________________
 

Name and Confirmation dates of members being transferred:
 

Name________________________________________________________
 

Confirmation Date______________________________________________
 

Name________________________________________________________
 

Confirmation Date______________________________________________
 

Name________________________________________________________
 

Confirmation Date______________________________________________
 

Name________________________________________________________
 

Confirmation Date______________________________________________
 

Name________________________________________________________
 

Confirmation Date______________________________________________
 

DEUS-FM004