Application for Sponsored Membership

Application for Sponsored Membership

Omnist Ministry Inc.
This is the application to sign up for a sponsored membership that is 50% off or free. Your application will be looked over and if you qualify you will receive an email that states if you qualify for a free or partial sponcership. If we do not have the funds to instate you as a full or partially sponsored member you will be on the waiting list until further funds are allocated. If you do not qualify, you will be directed to sign up for our Basic membership at full price.

MEMBERSHIP TERMS:

When a member checks out a book(s)/ item(s) they will be able to keep the book(s)/ item(s) for 28 days (pending arrival of items). After this time period renewals are based on a case to case basis. Within 48 hours an email will be sent out stating the tracking number, arrival date, due date, and drop-off instructions. The package returning will have a tracking number that you are responsible for scanning/ taking a picture of to us so that we have access to when it is sent out as well it will also show proof of arrival and return. If we have not received the returning package and/ or do not have an indication that there is an issue with USPS in a period of 3 weeks, a fee of $5 will be added to your account per book/ per month and no other books/ items may be checked out. The same will apply if there are any missing items. An additional $20 fee per book will be added to the account if the book is not returned within 90 days of the proposed shipping date. You will not be fined if your package is lost in the mail as this will be tracked through USPS. Your account will become inactive if fees are not paid. If a payment is not processed successfully in any given month, your membership will be on hold and you will need to contact us. All members are responsible for payment of these fees if they occur for reasons mentioned above. If you believe that inaccurate charges were made on your account, please contact our office at

660-270-4321 to dispute these.
Sponsored members may only subscribe to the Basic Membership which includes:
- 1 Member/ Household account to borrow up to 5 books/ cards with a lending period of up to 28 days
- Arrives in the mail up to 2 weeks (Usually 7 days)
- Tracking number and retrun shipping included
Do You agree with our membership Terms?*

I agreeI do not agree
Please enter todays date:*

MonthDayYear
Date

Basic Information

Please provide the following information so that if selected for sponsorship we may add you to our catalog and ship items to you.
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who will be utilizing this service?

I am signing up because I want to check out books for myself.I am signing up because I want to check out books for household.Other
What kinds of books are you interested in borrowing? ( We ask this to improve our book collection)

Financial Information

Please complete the following information, so that we can determine if you qualify for a sponsored membership. This information will not be shared outside for the Omnist Ministry Inc. Board.
What is your households yearly NET Income?*
How many people live in your home?*
How many dependents under the age of 18 live in your household?*
Are you a foster parent?*
Are you or have you been in the past 3 years on government assistance?*
Are you struggling to pay your bills monthly?*
Why should you receive sponsorship?*
Should be Empty:

Application for Sponsored Membership

Basic Information

Financial Information