Apply
NAME
DATE OF BIRTH
SEX
FULL ADDRESS
HEIGHT
WEIGHT
EYE COLOR
HAIR COLOR
PHONE #
CELL PHONE # (Optional)
EMAIL
CONFIRM EMAIL
ARE YOU A CHURCH MEMBER?
ARE YOU AN ORDAINED MINISTER? (Choose One)
MINISTRY NAME
MINISTRY FULL ADDRESS
ARE YOU THE SENIOR LEADER OF YOUR MINISTRY?
IF NOT, WHO IS?
PAYMENT:
Send your check named to "Jethro"
21 Overlook Ridge Ter. Unit 316.
Revere, MA. 02151
PAGAMENTO:
Envie o seu cheque nominal a "Jethro"