IABC Membership Renewal Form

IABC Membership Renewal Form

In completing the information below, you are requesting that your International Association of Biblical Counselors membership be renewed for the next year. Please provide all of the information requested so that we can ensure our records are current.
Member Information
Member's Name*

First NameLast NameSuffix
Title

Mr.Mrs.MissPastorDr.
Birth Date

MonthDayYear
Gender

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please update your profile picture.
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
Preferred Contact Number

Area CodePhone Number
Ministry Information

If you are involved with a church or ministry that provides biblical counseling, please include that information here.
Ministry Name
Ministry E-mail
Ministry Number
Ministry Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Language(s) you are fluent in other than English, if any:
If you selected "other," please specify
Please read the following, then sign below, acknowledging and affirming your agreement with the "Statement of Faith," the "Statement of Practice," and the "Affirmations & Denials" of the International Association of Biblical Counselors (IABC).
Acknowledgment of Continuing Affirmation and Agreement

By my signature below, I acknowledge my continuing affirmation of and agreement with the "Statement of Faith," the "Statement of Practice," and the "Affirmations & Denials" of the International Association of Biblical Counselors (IABC).
Click Here to Pay for IABC Membership Renewal Fee
I have paid my IABC Membership Renewal Fee.

YesNo
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Use your mouse or your finger to sign inside the box:*

Clear
When you click the "Submit" button below, you will be taken to our secure payment portal.

If you have any questions, email us at memberservices@iabc.net
Should be Empty: