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MEMBERSHIP FORM

Please provide the following information  If you would like to be a member of the AMN.

Name
:
E-mail
:
Addres
:
Country
:
Tel
:
Fax
:
Web site
:
Family Status
:

Married Single Divorced

Remarried Widowed

Name of Spouse
:
Church/ Ministry / Organization Information:
:
Ministerial Credentials
:
Date
:
Ordaining Outhorities
:
Gouvernmental Structure of church / ministry / organization
:

Deacons Elders  Associates   

Governing Board

other
:
Size of your Church Memberhip
:
How long have you Pastored the Church
:
Applying as a National Network /Organization
:
National Network Organisation
Name of Organization / Network
:
Applying as an individual Applicant
:
Why do you desire a membership in the AMN ?
:

How can AMN Serve you and your church/ Network / Organisation ?

Write in the box
:

 
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