*Denotes Required Field * Title Please answer YES or NO to the following statements: I have a personal relationship with Jesus Christ that is evidenced by my desire to live a holy life and to walk in obedience with him. Please select an option YES NO I have been baptized as a believer in obedience to the commands of scripture. For clarification on this issue, please contact one of the Pastors. Please select an option YES NO I agree in principle with the beliefs and doctrines of the Christian & Missionary Alliance. Please select an option YES NO I agree in principle with the privileges and responsibilities of the members as outlined in the Membership Description Page. Please select an option YES NO I am willing to submit in love and honour to my fellow members in the Body of Christ. Please select an option YES NO NAME: ADDRESS: PHONE #: ( ) - EMAIL: