ONLINE RENEWAL FORM

ONLINE MEMBERSHIP RENEWAL FORM - Renewal due by February 25, 2024

Use this form to renew your credentials with GAM/GMCI. Membership dues may be submitted by credit or debit card through Pay Pal. Please note: Dues will be processed through Gospel Ministers & Churches International, our parent ministry. We must receive a renewal form in order to update your credentials

Complete the renewal form and then click SEND. To pay your membership dues using a credit or debit card just click on the Pay Pal button at the bottom of the renewal form. If you have difficulty using the Pay Pal system let us know by calling 602-277-1953 or email at Go2GAM@aol.com. Thank you

Date*

APPLICANT INFORMATION

First Name*

Last Name*

Phone*

Email*

Your Birthdate*

Address*

City*

State*

Zip*

Has your address changed since your last application?

Are you a US Citizen? (Yes or No) If No - Enter your Country of Citizenship.*

Have you been arrested or convicted of a criminal act since you were originally credentialed? (Yes or No) If yes - Please explain:*

What is the primary ministry you are currently involved in?

If Other - Please explain:

Have there been any major changes in your ministry since last year? (Yes or No) If Yes - Please share briefly:*

Did you renew your ministerial credentials last year? (Yes or No)*

Are you certified as a Chaplain? (Yes or No)*

Summarize why you feel that God has called you to serve in the ministry:*

MEMBERSHIP INFORMATION

CHAPLAIN DESIGNATION: There is a $5.00 additional donation for each Chaplain designated card. Please note that GMCI is only recognizing you as a chaplain and not qualifying you as such.

Your Current Membership Status Type

Do you want a Chaplain designation on your Pocket Card? (Yes or No)*

Your Name as wanted on Pocket Card*

MEMBERSHIP DUES (Check ALL that Apply)

Individual Membership $49.00

Chaplain Designation $5.00

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I hereby request that my membership with GMCI be renewed. (required)

SIGNATURE BOX (Type in Your Full Name)*

I am interested in Church/Outreach Ministry affiliation

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Please fill this field.