Membership Application

IGMA Membership Application

* Indicates required field

Type of Application *

Name *

First

Last

Email *

Name of Group or Ministry *

Spouse Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Location (city) and name of the Church where you are a member or regular attender: *

Pastor's Name: *

By submitting this application I am publicly stating that I have read and affirm that I personally agree with all provisions of the "Membership Requirements" page of this website. IF YOU AGREE, TYPE "I AFFIRM." IN THE SPACE BELOW. If you have further or clarifying comments also type them in the space below. *

Click here to link to "Membership Requirements" page.

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