Fellowship of Churches - Application

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STAND FELLOWSHIP OF CHURCHES & MINISTRIES

MEMBERSHIP APPLICATION FEE

First Name*

Last Name*

Email Address*

Address, line 1*

City*

State*

Zip Code*

Application Fee

$100
$

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Payment Details

Payment Type:

Credit Card

Bank Account*

Name on Account*

Bank Routing Number*

Bank Account Number*

Card Number*

Security Code*

Expiration Month*

Expiration Year*

Name on Card*

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