General Membership Application

GENERAL INFORMATION (additional information will be needed for ordination or license)

First Name

Middle Name

Last Name

Street Address

Date of Birth

Place of Birth

Preferred mailing address is (check one)

HomeWorkChurch Organization P.O. Box

Street Address

City

State/Province

ZIP / Postal Code

Office Phone

Home Phone

Fax

Email Address

Country/Territory

Are you currently a member of a Church, Ministry, or Faith Organization?

If Yes Where

Name

Street Address

MINISTRY CATEGORY (please select one or more that best fits your ministry, title & training)

Degree in Education for Ministry

Degree

From

Crisis or First Responder

Training From

Certifications

SELECT MEMBERSHIP TYPE

A membership (tithe/donation) is for one year and is renewable yearly starting on the month in which the membership first applies. Membership is paid monthly. Amount is determined upon the categories below. Check one below: Add one time processing fee of $25.00 to below cost

HTML

Only US Currency accepted

Processing Fee 25.00 + Membership Fee

Total

MAIL THIS FORM AND A CHECK OR MONEY ORDER PAYABLE TO:

Abundant Life Ministries Internationally

O. Box 1165

Decatur, Alabama 35602-1165 USA

General Membership Application