Christian Brotherhood

First Name

Last Name

Age

Gender

Male
Female

Street Address

City

State

Postal or Zip code

Province (if applicable)

Country

Email address

Phone

Briefly state why you want to join the Christian Brotherhood.

What do you feel you can accomplish as a member?

Have you accepted Christ as Lord and Savior?

Yes
No, but I want to

How did you hear about the Christian Brotherhood?

What activities interest you the most?

Prayer
Bible study
Evangelism
Fellowship
Helping those in need
Healing
Gifts of the Holy Spirit

Other (please specify)

How do you prefer we contact you?

Regular mail
Email
Telephone

Additional comments

I am making an initial offering of:

I pledge to make a regular monthly offering of at least:

You may send your offering by clicking on the PayPal button below. The Christian Brotherhood has no financial backers or rich contributors but depends solely on the generosity of our friends. Thank you for your kind support.