Individual Dues

Name of payer *
Name of payer
Payer Phone *
Payer Phone
Payer Address *
Payer Address
Member info (if different from payer)
If you are paying dues for someone else, please use this section to indicate which Inspire member this payment is for.
Member name
Member name
Member phone
Member phone
Member address
Member address
Church info
Charis Fellowship Church that is credentialing and whom membership is aligned