Chaplain Fellowship Motorcycle Ministries
Chaplain Membership Renewal Form

 

Name: _______________________________________ Date: ________________

Address: __________________________________________________________

City: ________________________ State: _______________Zip Code:_________

Home Phone (____) _________________Business Phone (___)_______________

Email Address: _____________________________________________________

Date of Birth: _______________________ Age: __________ Sex: ___________

Marital Status: [ ] Single [ ] Married [ ] Divorced [ ] Remarried [ ] Other

Hair Color: ______ Eye Color: ______ Height: _____Weight: ______

I have been a member Since: Date: __________________________________

My CFMM Number is: ________________________________________

My membership expired on: _______________________________________

(No Application for renewal will be processed without all required information being completed)

Make sure you read this carefully before signing. No application for renewal of membership, license or endorsement will be considered or processed without this application being completed in full, signed, and dated. All renewal packages may take up to 3 to 4 weeks for delivery once received at the home office.

Please Note: Any member who make a firm commitment of financial support of at least $25.00 a month for the stability and advancement of Chaplain Fellowship Motorcycle Ministries will have their membership automatically renewed each year.

CHAPLAIN RENEWAL: I am a requesting my chaplain status be renewed. My donation of __________$50.00 to cover document production, mailing cost and recording of all documents.

1. This year I am making a monthly commitment of at least _______$15.00 _______$25.00 _______$45.00 ______$55.00 ______ $65.00 ____$75.00 _____ $100.00 for the stability and future advancement of Chaplain Fellowship Motorcycle Ministries.

2. I can not make a monthly commitment. For the stability and advancement of Chaplain Fellowship Motorcycle Ministries. I am making a one time donation of $_________ for the stability and advancement of the ministry.

By signing below I am stating that I have read and do understand and agree with the requirements to maintain my membership in good standing as a chaplain.

Signature is required:________________________________________

Unscriptural conduct, failure to maintain membership requirements in good standing, or doctrinal departure from the tenets of faith, shall be considered sufficient Grounds upon which any person may be disqualified and removed as a member. Such discipline shall be prayerfully administered according to Scriptures by the Governing Board of Directors (Matt. 18:15-17; Rom. 16:17; 1 Cor. 5:9-13; 2 Thess. 3:6). I understand that if I am ever charged with, accused of, investigated for, moved or removed because of, or transferred to another position because of alleged criminal and/or sexual and/or ethical misconduct that this document authorizes my employer or volunteer chaplaincy organization to release all information to Chaplain Fellowship Motorcycle Ministries or their designated investigating agency.

I also understand that Chaplain Fellowship Motorcycle Ministries and all associate members, churches, ministries, ministers and Chaplains shall not be held liable for any damages caused by the misuse or misrepresent of my qualifications, credentials or experience. Please Note: Membership renewal packages may take up to 3 to 4 weeks for delivery once received and approved by the home office.

Signature Is Required: _____________________________ Date: _______________

Personal information is not published, sold or given to outsiders: All personal information given is Strictly Confidential; it is only used for confirmation of your endorsement and certification which is logged in our legally licensed Ministers ledger and recorded for duly authorized ministry verification purposes only. Any alterations to this form will cause it to be void and application will not be considered. In such case the application will be returned to the applicant along with any donations made for consideration for the requested membership renewal and membership will not be reconsidered.
All funds must be in US funds: Make checks or money orders payable to: Chaplain Fellowship Motorcycle Ministries, Mail your completed renewal form with your check or money order to the home office listed below.

Chaplain Fellowship M/M
15453 Amber Pointe Drive
Victorville, CA 92394-5531

Attn: Document Renewal

For ministry home office use only

Date Renewal Form was received : _________________

Date Renewal Form was reviewed: _________________

Approved on:___________________________________

Disapproved on:________________________________

CFMM File No: ______________________________

Comments or Recommendation:

Signatures of senior staff members reviewing renewal form.

Dr :______________________________________

Dr.______________________________________

Dr.______________________________________

Please Note: Unscriptural conduct or failure to maintain membership requirements in good standing or doctrinal departure from the tenets of faith shall be considered sufficient Grounds upon which any person may be disqualified and removed from membership. The requirements and information required within this application shall be subject to change without notice. The board of directors does hereby have the right to refuse membership renewal for Unscriptural conduct or failure to maintain membership requirements in good standing. All decisions made by the board of directors has be final and binding.