Membership Form

First Name *

Last Name *

Email *

Phone *

Organization Ministry Name

Website

Please provide a bio of the head of the Organization or Ministry

Please provide an outline of the Organizational or Ministry structure.

Please provide a brief statement as to why you are applying for membership. *

Please provide the Organizations or Ministry ‘Statement of Faith’

Please list any associations with other Organizations.

By checking this box you are agreeing to the Associated Christian Television Code of Ethics and Statement of Faith.