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MEMBERSHIP APPLICATION - DOC 3 by jwYdo9ua

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									            AFRICAN MINISTERS’ CHARTER, INC. (AMC)
                  Membership Application Form
                                Email: info@africanministers.org

Send to:
                                     AMC Membership
                                     African Ministers’ charter
                                     3955 Fielding Drive
                                     Douglasville, GA 30135

Membership year: 2010-2011      (Membership year runs from July 1 – June 30)

Registration Fee: $100.00         Membership Renewal Fee: $100.00
Dues enclosed:       Yes                   No        (Checks, Money Order payable to
"AMC")

Name

Home Address

City                                  Province/State                Postal/Zip Code

Home Phone:                                  Email

Ministry Name:

Ministry Address

City                                 Province/State                Postal/Zip Code

Ministry phone:                                      Fax: __________________________________

Ministry web address (if available) _________________________________________________

Signature                                                          Date

								
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