Credential Renewal Form

Individual Credential Renewal

If you are a married couple renewing credentials, you MUST fill out one form for each credentialed minister.
The following documents are required study before applying for and/or renewing your credentials with MBM. Click each link to view that document.
Qualification*

I have studied the required documents listed above.
Personal Information
Credential Type*

OrdainedLicensedExhorter
Full Name*

First NameLast Name
Spouse's Name
Child(ren's) Name(s)
Phone Number*
E-mail*
example@example.com
Residence Address (physical)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Ministry Information
Ministry Name
Ministry Website
Ministry Address (physical)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Activities/Accomplishments This Past Year*

0/1000
I have performed the following sacerdotal functions during the past year (check all that apply):

Water baptism(s)Wedding(s)Funeral(s)CommunionBaby dedicationsReligious instructionConduct worship servicesSpiritual counselingAdministration of a church or ministryFoot washing servicesReceiving of tithes and offeringsAnointing with oilLaying on of hands for impartationLaying on of hands for separation and ordination of ministers
Goals for Next Year*

0/1000
Photo Upload*

Please upload an image to be used for your new credential card. Multiple files allowed (primary applicant and spouse). Max file size is 20MB.
Cancelof
You may use a debit/credit card. You will receive an email confirmation with the details of this form as well as a payment receipt.

Credential Renewal Fee (individual)

$100.00

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Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Individual Credential Renewal

Personal Information

Ministry Information