Affiliation Application Church/Ministry

Application for Church or Ministry Affiliation

To apply for Affiliation, please complete entire form. Thank You!
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Contact Info *

First Name Last Name
Are you Affiliating a Church or a Ministry? *

Church Ministry
Name of Church/Ministry *
Please describe your ministry *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Church/Ministry Email
Website
Church/Ministry Phone Number *

Area Code Phone Number
Pastor/Director Name *
E-mail
Cell Phone Number

Area Code Phone Number
Other Contact Name
E-mail
Cell Phone Number

Area Code Phone Number
THE COST:

EF Affiliated Churches and Ministries will pay an annual fee of $100 (First payment will be included with this completed application) and will also be asked to submit a regular monthly gift of your choice to the "Elim Fellowship Affiliated Ministries" account.
THE COMMITMENT:

Our church/ministry understands the cost & commitment required of Elim Fellowship Affiliated Churches and Ministries and is in agreement with the statement of faith, purposes & values of the Fellowship. This application for affiliation has been approved by the necessary governing board of our organization.
COMMITMENT AGREEMENT *

Check Box as Signature
Please print Name Here
Signature date *
Any other Information we may need:
How will you pay the $100 Application fee? *

Online Send in a check
Please send payment to Elim Fellowship at 1703 Dalton Rd. Lima, NY 14485. Write "Affiliation Application Fee" in memo.

My Products

Affiliation Application Fee $ 100.00

Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
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Application for Church or Ministry Affiliation