Awaken Membership Application
Be part of bridging the gaps!
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What ministry are you interested in, and why?
Are you interested to serve in Hayti military services?
Yes
No
Are we you interested to be part of the DHCU (Diaspora Heritage Credit Union) initiative ?
Yes
No
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