AMERICAN MISSION TEAMS
MEMBERSHIP APPLICATION
LAY MINISTRY AND GENERAL MEMBERSHIPS
Mail this form, with photograph and fee of $30.00 to:
American Mission Teams, P.O. Box #339, Norris City, IL 62869
618-378-3821 Email: amticbt@hamiltoncom.net
Date: _______________
Name: ____________________________________________________________________________
Address: ___________________________________________________________________________
City: ____________________________________________ State: ____________ Zip: __________
Phone: (_____)____________________________ Date of Birth: _____________________________
E-mail _____________________________________________________________________________
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___ Single ___ Married ___ Divorced ___ Remarried ___ Widow/Widower
Spouse’s Name: ____________________________________________________________________
Number of Dependent Children: _________
Are You Filled with the Holy Spirit?: ____ Yes ____ No
Name of Church/Ministry: _____________________________________________________________
Address: __________________________________________________________________________
City: __________________________________________ State: __________ Zip: ________________
Average Church Attendance: ___ Weekly ___ Bi-Weekly ___ Monthly ___ Other
Explain: ___________________________________________________________________________
___________________________________________________________________________________
Pastor’s Name: _____________________________________________________________________
Phone (____)_____________________ Email _____________________________________________
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Applicant’s Signature: ________________________________________________________________
“Endeavoring to keep the unity of the Spirit in the bond of peace”. Ephesians 4: 3
