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Universal Membership Directory of the church of Christ


Registration Form

Attention

Please read the following paragraph before completing this form.

A service fee of $25 (USD) is required in order to post a new listing or update of an existing listing.  Upon submission of this form you will receive an on-line invoice and instructions on how to make your payment to Internet Ministries.  We thank you kindly for using our network.

If you would like to have your name added to our Universal Membership Directory of the church of Christ, we kindly ask that you assist us by providing the proper information about yourself in the following form.


***Important Notice***

Please do not use all upper case letters since this is the equivalent of shouting on the Internet.  The use of all upper case letter will cause the deletion of your entire listing.

Do not use any abbreviations in the State, Province, or County field. Any abbreviations in the State, Province, or County field will cause the deletion of your entire listing.  Use the following format: Texas not TX, Alberta not ALTA, Tamaulipas not TAM. Your cooperation is appreciated.

Whenever you wish to update your information please input a complete updated file since your old record will be deleted.

Please select one of the following options before sending us your data:

Please input the following information:

  

Last Name:

  

First Name:

  

Middle Name:

  

Name of Spouse:

  

Address (line 1):

  

Address (line 2):

  

City or Town:

Name of State, Province, Prefecture, or County:

  

Zip/Postal Code:
Country:

  

Telephone Number:

  

E-mail Address:

  

Date of Birth:

  

Date of Baptism:

I am a member of the following congregation of the church of Christ:

  

Name of church:

  

church Address (line 1):

  

church Address (line 2):

  

church City or Town:

Name of State, Province, Prefecture, or County:

  

church Zip/Postal Code:
Country:

  

church:  Telephone Number:

The following input request is Optional:

 

Single
Married
Divorced
Widow/Widower
Separated

I serve the church in the following capacity:

Evangelist
Preacher
Elder
Deacon
Missionary
University Campus Minister
Youth Minister
Song Leader
Adult Bible Class Teacher
Ladies Bible Class Teacher
Children's Bible Class Teacher
Youth Leader
Prison Minister
Radio Ministry
Television Ministry
Internet On-Line Ministry
World Bible School Teacher
Bible Roadmap Series Teacher
Multiple items may be chosen.

  

Personal URL Address:

  

Additional Information:



 

Return to the churches of Christ

Thank you for entering your personal information into our Universal Membership Directory of the church of Christ. It is appreciated by all of your Brothers and Sisters in Christ who may wish to contact you.