Affiliation Application Church/Ministry

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Contact Info*

First NameLast Name

Are you Affiliating a Church or a Ministry?*

ChurchMinistry

Name of Church/Ministry*

Please describe your ministry*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Church/Ministry Email

Website

Church/Ministry Phone Number*

Area CodePhone Number

Pastor/Director Name*

E-mail

Cell Phone Number

Area CodePhone Number

Other Contact Name

E-mail

Cell Phone Number

Area CodePhone 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?*

OnlineSend 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

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Application for Church or Ministry Affiliation