Judah Ministries Application for Membership

AFFILIATE MEMBERSHIP APPLICATION
Application For Membership

In placing this application, we give assurance that our church/ministry, represented by our signatures, agrees with, and subscribes to the mission, vision, and statement of faith of Judah Ministries International.
Date*

MonthDayYear
Date
Membership Type*
Name of Organization*
Ministry Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Ministry Phone Number:*

Area CodePhone Number
Ministry Fax Number:

Area CodePhone Number
Ministry Email Address:*
example@example.com
Pastor or Senior Officer Information

The primary spiritual leader or senior officer of your organization must sign the application.
Ministry Leader Name:*

First NameLast Name
Ministry Leader Phone:*

Area CodePhone Number
Ministry Leader Email Address:
example@example.com
Secretary or Clerk Information

A secondary official representative, typically the organizational clerk or secretary, must also sign.
Secretary/Clerk Name:*

First NameLast Name
Secretary/Clerk Phone:*

Area CodePhone Number
Secretary/Clerk Email Address:
example@example.com
Ministry Leader and Secretary or Clerk Signatures

Both official representatives must be authorized to legally bind the organization and must provide signatures on the application. Entering the name in the Signature fields affirms your consent to use the name as a "digital signature" for the purposes of this application.
Print Ministry Leader Name*
Type the name of the Ministry Leader here
Print Ministry Leader Signature*
Enter name here as a "Digital signature"
Print Secretary/Clerk Name*
Type the name of the Secretary/Clerk here
Print Secretary/Clerk Signature*
Enter name here as a "Digital signature"
Should be Empty:

AFFILIATE MEMBERSHIP APPLICATION

Application For Membership

Pastor or Senior Officer Information

Secretary or Clerk Information

Ministry Leader and Secretary or Clerk Signatures