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Worldwide WORD Missions Inc. Registration Form
Please complete all required questions. Next Page will not open UNTIL it is free of mistakes or errors. All Red Asterisks Required Questions MUST be correctly filled.
Complete Name
*
Rev.
Dr.
Pastor
Evang.
Apostle
Prophet
Teacher
Bishop
Mr.
Mrs.
Ms.
Choose Title
First Name
Middle Name
Surname/Last Name
Name Of Church/Ministry/Organization (If Any)
e.g. Worldwide WORD Missions Inc
Date Of Birth
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Month
/
Day
Year
month/day/year
Gender
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Male
Female
Other
Profession
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A Fulltime Minister
A Bivocational Minister
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Mailing Address
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Afghanistan
Albania
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Anguilla
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Botswana
Brazil
Brunei
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Burkina Faso
Burundi
Cambodia
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Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
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Dominican Republic
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El Salvador
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Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
Georgia
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Gibraltar
Greece
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Guatemala
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Guinea-Bissau
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Hungary
Iceland
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Indonesia
Iran
Iraq
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Israel
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Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Building Address For Church/Ministry/Organization
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail
*
ex. myemailaddress@yahoo.com
Retype E-mail
*
ex. myemailaddress@yahoo.com
Cell Phone Number
*
-
Country Code
-
Area Code
Phone Number
Work Phone Number
-
International
-
Area Code
Phone Number
Websites
e.g. www.worldwidewordmissions.org
Your Facebook Page Name
e.g. Olanrewaju Elujoba
Application Form Date
*
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Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
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20
30
40
50
Minutes
AM
PM
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Most Important Reason For Applying
*
Please Select
To Receive Membership Benefit
To Receive Help For My Ministry
To Participate As An Affiliate
To Enjoy WWMI 4Ps Support
To Help Others As A Sponsor
To Join Christian LOVE Cafe
To Receive Help For My LOVE Life
To Receive Newsletters
For Partnership & Support
I Do Not Know Why
Please Choose The Most Important Reason for Registering
Please Select ALL Other Reasons That You May Also Be Interested in joining Worldwide WORD Missions Associates & Affiliates
*
Ministry Mentoring
To Receive Mission Field Support
To Contribute To Missions
Pulpit Sharing
Invitation To Conferences
International Ministers Networks
Logistics For New Church Plant
To Offer Leadership Skill
Christian LOVE Cafe Member
To Enjoy Marriage Counsel
For Help In Finding A Mate
To Be A Regular Goodwill Donor
To Offer Yearly Sponsorship
For Collaborations on True LOVE TV
Other
We Need To Know You - Please Share A Detailed Biography About Yourself, To Replace the Example In The Box Below
*
Tell us about your history and future plans
Please Type In Your FULL Statements of Belief To Replace the Example In The Box Below.
*
Tell us about your history and future plans
Please Type To Replace Example In The Box Below, Your Major Achievement So Far & Plans For The Next Few Years
*
Tell us about your expectations and future plans
Membership Is FREE - But Please Click One or more of the Following categories Below In Addition To FREE Association Membership. Indicate If you will be using DONATE button in the website to send freewill contributions To Worldwide WORD Missions & Network.
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( X )
Association Member
$
Free
Special Freewill Gift
$
25.00
Special Freewill Gift 2
$
50.00
Special Donation Gift 3
$
100.00
LOVE Cafe Confidential Member
$
25.00
1 Year Registered Affiliate
$
100.00
1 Month Sponsor/Trustee
$
100.00
Special Freewill/Goodwill Donor 3
$
250.00
Special Freewill/Goodwill Donor 2
$
500.00
Yearly Sponsor/Trustee
$
1,000.00
Total
$
0.00
Do you voluntarily accept that your submitted materials may be published online to serve for advert/publicity and non-profit ministry purposes
*
Absolutely
Never
I will email you on it
Other
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I Wish To Be Recognized By Others In Worldwide WORD Missions To Have Joined As - You may choose more than one
*
Associate/Affiliate Minister (Free)
LOVE Cafe Member ($25)
True LOVE TV Network Member
1 Year Registered Affiliate ($100)
1 Month Sponsor or Trustee ($100)
Yearly Sponsor/Trustee ($1,000)
A Free-will Offering/Donor (any amount)
Other
I hereby accept that all information I provided in this form are truthful and correct. I voluntarily agree to abide by the organizations/association rules, regulations, terms and conditions.
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NO
I am not sure
I am not decided
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