Membership Application

1. Contact Information:
Your Full Name:
Address: City: State: Zip:
Home Phone: Fax: Work Phone:

YourEmail Address:
Web Address for your Ministry:

2. Ministry Information
Name of Your Ministry:
What kind of Ministry is it:
Pastor: Evangelist: Teacher: Layminister: Missionary: Music: Other:
If Other Please give Details:

3. Marital Status:
Single: Married: Divorced: Widowed:
Spouse's Name if Married:

4.Church/Ministry information:
Name of Church you attend:
City: State: Zip: Phone:
Pastor's Name:

5.Please list name of Pastor or organization you are in submission to if differentfrom above.
Name:   Phone:
Address:   City:    State:    Zip:
If you listed an organization or denomination, please indicate the nameof contact person below:

6. What do you feel you can offer M. N. I. that will be ablessing to all members of M. N. I.?

7.Commitments

To the best of my ability, with God's help, Iwill support the International office of M. N. I. monthly with a financial contribution.
Yes No

Do youagree that the local church is the center around which God has directed allministry to be in subjection?
Yes No

Do youagree to help all members of M. N. I. to the best of yourability?
Yes No

Doyou agree with our statement of faith?
Yes No

Do youagree with the purpose of M. N. I.?
Yes No

8.In the space below please list the Pastor that will be your sponsor to M. N. I.
(Sponsoring Pastor is not required to be an M. N. I. member)
Sponsoring Pastor's Name: Church Name:
City: State: Zip: Phone:

9. Placing your information on our web site.
Please select the items below you want to appear on our "Members"page of this site.

Your Name       yes       no
Your Address    yes       no
Your Phone       yes       no
Your Email        yes       no    (wewill create a link to your Email address)
Your Website    yes       no    (we will create alink to your site)
Your Ministry    yes       no

Other comments you wish placed in your membership information.

Clicking the submit button is your signature.