Name 


Address 

City                                                      State                   Zip

Telephone  

Email 

Your age                            Birthday  

Has there been a change in your marital status during 2015?  

If yes, please explain:




Spouse’s name  

(Please mark an x in the correct box.)
My current ministry is:    Evangelist           Pastor 

(Church name)

Assistant Pastor          Teacher          Jail/Prison Ministry            Street Ministry 

Nursing Home Ministry           One-on-One Counseling              Music  

Missionary             Countries                               

Other (please explain) 




I am in ministry: Full-time             Part-time              Retired from active ministry

Not active at present time, but please renew my affiliation, so I am ready to go as the Lord directs.


Has anything changed in your personal life that could in any way adversely affect your ministry status or activity?


 If you answered yes, please explain:  






Please select credentials you currently have: 

      Commissioned Minister $50                  Minister of Music $50      

      Exhorter’s License $50        Minister’s License $75           Ordination $100


  PLEASE PLACE THE FOLLOWING ON MY CREDIT CARD:

  1)  $                   to cover my 2016 affiliation costs.

  2)   Please also place $                    as an extra gift to help in the ministry of EMA.

             TOTAL AMOUNT TO BE PLACED ON MY CREDIT CARD:

  3) I am NOT renewing.           Please remove my name from your files.


To the best of my knowledge, I am living my life by the Holy Scriptures. I know of no scriptural reason to bar me from continuing in my ministry.

I submit that all of the above is true.

Please type your name here to sign  

Please feel free to list any needs your family or ministry might have that you would like our staff to agree with you in prayer concerning:

Do you have any suggestions for Brother Ford concerning the ministry of E.M.A.?  


YOUR FINAL TWO STEPS:

1) CLICK ON THE SUBMIT BUTTON TO EMAIL YOUR APPLICATION. 




















2) INPUT THE AMOUNT YOU DESIRE EMA TO CHARGE ON YOUR CARD (ABOVE)... THEN CLICK THE DONATE BUTTON. 

YOU WILL THEN BE DIRECTED TO A WEBPAGE WHERE YOU CAN FILL IN PERTINENT INFORMATION IN REGARDS TO THE CREDIT CARD YOU ARE USING. (NO PAYPAL)

THANKS FOR STANDING WITH E.M.A. TO HELP US STRENGTHEN "INDEPENDENT" MINISTERS WORLDWIDE AS WELL AS OUR MISSION OUTREACHES.
EMA RENEWAL APPLICATION FOR 2017
(This renewal form is for CREDIT CARDS ONLY.)

Please fill in all the information below. Then follow the last two steps at the 
bottom. Please renew by December 10th.
Today’s date  

Evangelistic Messengers Association
Ennis, Texas U.S.A.
USE THIS FORM TO PAY FOR YOUR RENEWAL.
ALTHOUGH THIS FORM SAYS 
"DONATE" THE IRS DOES NOT CONSIDER THIS A DONATION.
PLEASE DO NOT RENEW HERE UNLESS USING A CREDIT CARD.  (NO PAYPAL)
PLEASE CLICK HERE FOR OUR 2017 RENEWAL FORM YOU CAN PRINT AND SEND IN.