IBFNA Membership Form

Membership: $15 Individual $25 Couple

Dr. Rev. Mr. Mrs. Miss [please print]

Name ___________________________________ Wife ____________________

Mailing Address ____________________________________________________

City/State/Zip+4 ____________________________________________________

Home Phone (____) _______________ E-mail ____________________________

I am in agreement with the IBFNA Articles of Faith and am a member in

good standing of _______________________________Baptist Church

Address __________________________________________________________

Pastor/Ministry Representative Directory Information:

If you are a pastor or ministry representative and would like your church or ministry name listed under your name in the directory, please fill out the information below. If you prefer to use your ministry address as your mailing address, please check the box below.

Church/Ministry Name __________________________________________

Your Ministry Title _______________________________________________

Mailing Address _________________________________________________

Office Phone (____)___________________ Fax (____)__________________

Web Site _______________________________________________________

Mail with check made payable to IBFNA:     6889 Belleville Rd.    Belleville, MI 48111

Memberships expire first day of annual conference. Membership includes IBFNA Directory and subscription to The Review.

Would you like to be notified when there are changes to the IBFNA.ORG web site?  If so, add you name and email address to the IBFNA-WWW Communication page.

Send mail to webmaster@ibfna.com with questions or comments about this web site.
Last modified: June 21, 2007