NEW MEMBERSHIP FORM Application Form Hi Name First Last Address Street Address City State / Province / Region ZIP / Postal Code PhoneEmail Have you Been Baptized as a Believer? Yes No Are you fully supportive of The Christian and Missionary Allia nce's emphasis on worldwide evangelism and church planting? Yes No In what areas of ministry in the local church are you most interested in participating? (feel free to list as many items as you would like)SignatureDate Date Format: MM slash DD slash YYYY
