CREDENTIAL RENEWAL APPLICATION

Credential Renewal Application

Deadline for application and dues is July 26, 2021. All dues must be paid in full on or before the due date in order to hold credentials for the year.
Please Select Title*

$50 Apostle$50 Bishop$50 Pastor/Overseer$25 Ordained Elder$25 Licensed Minister$25 Evangelist
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone*

Area CodePhone Number
Pastor's Name
Church Name
Application Submitted On

MonthDayYearHourMinutesAM/PM Option
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