JACCI is pleased and honored to have many "Virtual Members" around our nation and across the world! If you would be interested in becoming a "virtual" member of our church, please complete the form below so that we may count you as a "Virtual Member" and continue to be in contact with you. "Virtual Membership" IS FREE! We will inform you of all events and will occasionally send special materials to you, by mail or E-mail, which are specifically offered exclusively to our Extended and Honorary Members. These may include cassette tapes of messages, CD's, sound files, or printed materials. Anyone wishing to do so may be included as an "Extended Member" of JACCI. "Honorary Membership" is assigned to those individuals who contribute regularly (regardless of the amount) in support of our work. You will receive a welcome package from our church within 4-6 weeks of submitting this form. CLICK HERE to see a list of our "Virtual Members"
"VIRTUAL" MEMBERSHIP ENROLLMENT FORM
Required questions are marked by a red asterick
Have you been baptized in the name of Jesus Christ for the remission of sins according to Acts 2:38?
Please provide your mailing address (including Zip Code)
Please provide your phone number (including Area Code)
*Please provide your E-Mail address
Do you belong to a local church? If so, which church/where?
What is your religious/church background? (Apostolic, Baptist, Pentecostal, Methodist, COGIC, A/G, Presbyterian, etc)
Why do you wish to be counted as an extended member of our ministry?
Do you have any special prayer requests that you would like us to include in our prayer ministry?
*What is your gender and age? (For example, "Male 35")
Are their any special areas where we might be of assistance to you in your walk with the Lord? (If so, please detail.)
Would you like to personally speak with the pastor? (In person or by phone)
PLEASE COMPLETE
OPTIONAL DONATION
BEFORE SUBMITTING THIS FORM
Donations are not required. We welcome your "virtual membership" and fellowship with or without a donation! Those who schedule recurring gifts (regardless of the amount) will be designated as "Honorary Members." To donate to this ministry, please use the buttons below:
YOU WILL BE RETURNED TO THIS PAGE AFTER YOUR DONATION IS COMPLETED.
$10 Monthly Gift
One Time Gift
Any Amount
$20 Monthly Gift
$50 Monthly Gift
To Cancel Your Monthly Gift Schedule
Have you received the gift of the Holy Ghost baptism according to Acts 2:38?
Thank you so much for your interest in participating in and supporting this important ministry! We look forward to many years of blessed fellowship!
What is the name of your spouse or significant other? (Age)
What is your Date of Birth? (Example: July 7, 1955)
