UA Membership Application

City
Country
Desired Affiliation / Acknowledged Title

Ministry Affirmed Apostle Un-Affirmed Apostle Prophet/Prophetess Bishop

Elect-Bishop Ordained Senior Pastor
Name
Application Date

Month Day Year
Date
Address

Street Address

Street Address Line 2

City State

Zip
Zip

Cell Phone:
Home Phone
Home Fax
Email
example@example.com
Spouse's Name
Date Organized

Month Day Year
Date
City
State
Zip
Address

P.O. Box Address

Street Address Line 2

City State

Zip
Church Phone
Church Fax
Approx. Membership
Date you started serving as Senior Pastor of this church

Does your spouse hold a Five-Fold Office?
Revision Date 4/10/2018 9:19 AM
I do hereby pledge to join myself to the Unity Alliance Apostolic Fellowship International, Inc. and hereby voluntarily submit to its rules and structure. I understand that by doing so I do not surrender any of the autonomy that is characteristic of being a Christian Church or Ministry. I further pledge to offer my gifts and talents in building this family of faith and move of God.
Signature

Clear
Date

Month Day Year
Date
Please Select the Applicable Application Fee
New Member Application Fee

$200.00 (One-Time Processing Fee) $85.00 Pastors, High Clergy, (with churches) $50.00 Pastors, High Clergy, (within ministries) $25.00 Ordained Ministers, Elders, Evangelist
PAYMENT INFORMATION

Cash U.S. Postal Money Order Check (U.S. Funds) Discover Master Card Visa
Make check or money order payable to the Rock Ministries International If paying by credit card, your signature below indicates agreement to total Application Fee due.
Credit Card #
Expiration Date

Month Day Year
Date
Name of Cardholder
Today's Date

Month Day Year
Date
Billing Address
Signature

Clear
Mail Form To: UAAFI P.O. Box 60865 - Houston, Texas 77205
Mail Form To
Revision Date 4/10/2018 9:19 AM
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