Form Type: 
MINISTRY TYPE:     KING   PRIEST   STUDENT    Discribe Your Occupation (Maximum 50 Characters)
KING/PRIEST/STUDENT - GENERAL INFORMATION
Title/Name:
Spouse's Title/Name:
Birthday (month/day):
Spouse's Birthday (month/day):
Wedding Anniversary:
(month/day/year)   
CONTACT & MAILING INFORMATION
Home Address:
City:
State:
Zip Code:
Country:
Home Telephone:
Fax:

King/Priest/Student Name:

King/Priest/Student Street Address:
City:
State:
Zip Code:
King/Priest/Student Telephone:
Fax:
King/Priest/Student Mailing Address:
City:
State:
Zip Code:
Email:
Website:
Assistant's Name:
Admin. Assistant's Name:

Year King/Priest/Student Established:

# of Members:
# of Partners:
KING/PRIEST/STUDENT - DETAILED INFORMATION
How did you hear about us?   TV   Faith Alive Newsletter   Website   Word of Mouth   Other
Are there any other organization(s) with which you are associated?  
Why do you want to become a part of FCM International?  What do you expect to receive?  
What is your ministry's main topic of emphasis (i.e., healing, prosperity, community development, etc.)?  
What area(s) of your ministry need further development (i.e., administration, growth, youth ministry, website, etc.)? 
Additional Comments:
METHOD OF PAYMENT
Agreement: I agree to pay the amount selected below in USD. By entering my initials in this box, I authorize this transaction.
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Expiration Date: Month Year