New Membership Please enter the following information if you would like to become a member. * = Required Field Membership Information Membership Application for: * Please Select Individual Church Denomination Nonprofit School Business Transaction Frequency: * One-Time Annually Monthly Church Membership: * --Please Select-- 1 - 99 100 - 499 500 - 999 1000 - 2999 3000 and above Revenue: * --Please Select-- Under $500,000 a year in revenue Between $500,000 and $1 Million a year in revenue Over 1 million a year in revenue Size: * --Please Select-- Less than 1000 students More than 1000 students Amounts Membership: $ Additional Contribution: $ Total: $ Contributions above the minimum membership commitment are encouraged as a means to further the united mission of the National Association of Evangelicals. Contact Information Organization Name: List Primary Contact for Membership Title * Mr. Mrs. Ms. Dr. Rev. First Name * Last Name * Address * City * State * Postal Code * Country Email * Phone * (format xxx-xxx-xxxx) Denominational Affiliation: Please write a brief paragraph describing your organization. I have read and agree with the Statement of Faith. * An NAE staff member will contact you soon to discuss your denomination’s membership application. Payment Information Payment Type Credit Card Virtual Check/Savings Transaction The following information is required only for Credit Card payments. Card Type * Visa MasterCard American Express Discover Card Number * Security Code * CVV2 information » Expiration Month * Expiration Year * I'd like to cover the fee, so 100% of my contribution goes to the NAE. The following information is required only for Virtual Check payments. Account Type * Checking Savings Bank Routing Number * Account Number * Total Amount * $ Reset Powered by eTapestry.com.