ORDER FORM - Licensed Minister FULL NATIONAL REPORT - ID CARD

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FOR MISSISSIPPI SOUTHERN SECOND JURISDICTION ONLY | ID CARD for License Minister

This FORM is only for those who are applying for their initial ID CARD as a LICENSED MINISTER. This process is ONLY for those who already have requested a MINISTER'S LICENSE CERTIFICATE. You cannot use this process unless you have been authorized by your pastor.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

New Title

Have You Paid for a National ID Card as a Licensed Minister?

*

Please select one option.

Yes No

Assessments Due

Certificate for Licensed Minister

NOT ORDERED (37.50) Already ORDERED (0)

Amount

National Report (ID Card Annual Renewal)

UNPAID (50.00) PAID ($0)

Amount

Official Offering - Bishop

UNPAID ($25) ALREADY PAID ($0)

Amount

Official Offering - Supervisor

UNPAID ($20) ALREADY PAID ($0)

Amount

Convenience Fee 10.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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