ORDER FORM - Certificate of Ordination for Elders
DO NOT USE THIS FORM IF YOU ARE NOT A MEMBER OF A LOCAL CHURCH IN MISSISSIPPI SOUTHERN SECOND JURISDICTION.
The $8.00 Convenience Fee covers the cost of processing your payment by credit card.
FOR MISSISSIPPI SOUTHERN SECOND JURISDICTION ONLY | APPLY FOR Certificate of Ordination for Elders
This FORM is only for those who are applying for ORDINATION as an ELDER.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Current Credentials
Have You Received Your New National ID Card as a Licensed Minister?
*
Please select one option.
Yes
No
Annual National Assessment
Are you already an Ordained Elder and need to bring your credential current?
*
Please select one option.
YES
NO
N/A
National Report
Report Due ($150)
No Report Due ($0)
Report Due ($150)
No Report Due ($0)
Amount
National Report Convenience Fee
Credit Card Fee Due ($4.65)
No Credit Card Fee Due ($0)
Credit Card Fee Due ($4.65)
No Credit Card Fee Due ($0)
Amount
Payment for New Credentials
Certificate of Ordination
37.50
Convenience Fee
10.00
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
DO NOT USE THIS FORM IF YOU ARE NOT A MEMBER OF A LOCAL CHURCH IN MISSISSIPPI SOUTHERN SECOND JURISDICTION.
The $8.00 Convenience Fee covers the cost of processing your payment by credit card.
×
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