Membership Change Form
First & Last Names of All in Request:*
Current Address & Phone:*
Current Email Address:*
I (we) Desire to have the following action taken regarding our membership at St. Paul's Lutheran in Wisconsin Rapids, WI:*
 Transfer to a WELS or ELS congregation
 Help me find a WELS or ELS church nearby
 Grant us a Peaceful Release from membership
If you are asking to be transferred please enter the name of the congregation and its city and state below. **If this box is not filled in a transfer will not be given.**
Additional Comments: