Name ___________________________________________________ Phone ________________________

If this application is for a church, business, institution, etc. list its name: _____________________________________________________________________________________

Address ______________________________________________________________________________

Fax ___________________________________ email __________________________________________

1. I (we) _________________________________ agree with and desire to be part of the mission, purposes, and bylaws of The Christian Restoration Fellowship International, and request membership in this affiliation of individuals.

2. I (we) hold to the Apostles' Creed, the innerancy of the Bible, and the need for the Holy Spirit to reveal it to mankind.

3. I (we) will seek to live out the "one another" commands listed in Scripture and other purposes of The Christian Restoration Fellowship International to the best of my ability, and stimulate others to do the same.

4. I (we) recognize that The Christian Restoration Fellowship International has no legal rights over my life, church, business or properties and that I (we) may disassociate myself from it at any time of my choosing by submitting a letter of such intent. Such disassociation will be immediate.

5. I (we) realize that The Christian Restoration Fellowship International reserves the right to dismiss any individuals or institutions from its ranks which it determines is not adhering to its ideals, policies and bylaws.

6. The two to three others to whom I (our institution) look as primary counselors are:

Name ______________________________________________ Phone ____________________________

Address ______________________________________________________________________________

_____________________________________________________________________________________

Name ______________________________________________ Phone ____________________________

Address ______________________________________________________________________________

_____________________________________________________________________________________

Their forms of endorsement are attached, as is my "Life's Accomplishments" and "Services Available Form." (Note: These must be attached for membership to be activated for the forthcoming year.)

Signature _______________________________________ Title _______________ Date ______________