Church / Mission / 
Organisation Application 
Form

Title MrRevDrOther

Name
Address


Post CodeTelephone Number
Email


What are your reasons for applying to FEM [10 lines only]
Use a separate piece of paper if more space is needed.

Does your  Church or Mission accept without reservation the doctrinal statement of the Fellowship and its principles of separation from the Ecumenical and Charismatic Movements? Yes  No

Signature of pastor, secretary or leader __________________________Date

Enclose £25.00  for a Church with up to 50 members or £50.00 for a larger Church / Mission / Organisation. Each Church / Mission / Organisation has the right to send one representative to the AGM ... this representative has a voting right.
Cheques payable to Fellowship of Evangelistic Ministries.
Amount Enclosed: £

This amount will be refunded if your application is not accepted.

Print and mail this form to:

Fellowship of Evangelistic Ministries
FEM Registered Office 
Hunslet Nazarene Church
Lupton Street
Hunslet
LS10 2QR
United Kingdom

Referred by Living Word Bible Church

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