Ministers Renewal Form

Credential Renewal Form

24-25
Name*

First NameLast Name
Credentials*

Yes I wish to renew my credentialsYes I wish to advance my Exhorters to LicenseYes I wish to advance my License to OrdinationNo I do not wish to renew my credentials
Fee*

I will mail in my fee of $100I will pay my fee of $100 online
If you have an address or phone number change you can put your new information below.
Date*

MonthDayYear
Date
FOR OFFICE USE ONLY
Type of Payment Received
Date Approved
Rev. Preston Haddock, Chairman
Rev. Eddie Pitts, Vice-Chairman
Rev. Donnie Jackson, Secretary/Treasurer
Should be Empty:

Credential Renewal Form