Partner Registration Form

Partner Registration Form

Request to become an HLMC partner.
Application Date

MonthDayYear
Date
Applicant info

Individual who is completing the Application
Applicant Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Church, individual, or entity interested in partnership
Name
Entity, church, organization, or group name.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Questionair
Have you read the beliefs, and plan of salvation on our website.

YesNot yet
Do you practice and agree with the beliefs, and plan of salvation on our website.

Yes, I agree completelyI agree with most of itI agree with some of itNo, my beliefs are different.
Have you recieved the Holy Ghost with the evidence of speaking on tongues?

YesNoI do not understand the questionI am not sure
What aspects of this partnership are you interested in?

Giving financial supportParticipating in eventsAligning in prayerHosting a crusade in my areaOutreach/evangelismClosing the denominational divideSharing event informationConnecting with other Kingdom-minded peopleSupporting outreach programs, and missionaries
Financial Partners

Please select the sponsorship level you are interested in. Leave blank if you do not know an amount yet, or are not becoming a financial partner.
Sponsorship levels

Bronze Partner ($0-$25/month)Silver Partner ($26-$50/month)Gold Partner ($51- $100/month)Platinum Partner ($101 - 150/month)Diamond Partner ($151 - $199/month)Kingdom Partner ($200+/month)Other (one-time donation, or non-scheduled donations)
By signing below you agree to let us add your information to our list of sponsors upon the acceptance of this application. You also agree that the above information is correct and accurate to the best of your knowledge.
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Partner Registration Form

Applicant info

Church, individual, or entity interested in partnership

Questionair

Financial Partners