Congregation Membership Application
To apply for membership please complete all questions.
Name
*
First Name
Last Name
Position in Congregation
*
E-mail
example@example.com
Phone Number
Church Name
*
Address
*
Today's Date
-
Month
-
Day
Year
Date
My Products
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next
( X )
Congregation Membership Dues
Annual
$
250.00
Submit
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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