American Mission Teams
CORPORATE MEMBERSHIP APPLICATION
Please print and fill out application completely. Include a current photograph and the fee of $150.00 and mail to:
American Mission Teams, P.O. Box 339, Norris City, Illinois 62869
618-378-3821 ♦ Email: amticbt@hamiltoncom.net
Date: ______________
Ministry Name: _________________________________________________________
Ministry Leader: _________________________________________________________
Address: _______________________________________________________________
City: _________________________________ State: ____________ Zip: __________
Phone: (____)________________ E-mail ______________________________________
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Home Church: _________________________________________________________
Phone: _____________________ Email: ____________________________________
City: _____________________________________ State: _______ Zip: ___________
Pastor: _______________________________ Phone: (____)____________________
Give a brief summary of your ministries work, goals, etc.
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Present Ministry Status: ___________________________________________________
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Signature Date
