Membership Application

Evangelical Association of the Caribbean

    1. Name of Organization:*
    2. Type of Organization:*
    3. Mailing Address:*
    4. Telephone:*
    Fax:
    5. Email:*
    Website:

    6. Number of Caribbean Islands/Countries organization is located?

    7. Number of Congregations/Member Bodies/Branches in organization?

    8. Is Organization Registered?*

    Registration Date:

    9. Is Organization Incorporated?*

    Incorporation Date:

    10. Has the Governing Body of the Organization agreed to become a member with the Evangelical Association of the Caribbean?*

    11. Is the Organization in agreement with EAC’s Statement of Faith?*

    12. Is the Organization in agreement with the Constitution of EAC?*

    13. Is your Organization prepared to subscribe to all the provisions of EAC?*

    14. Why do you wish your organization to become a member of the EAC?*

    15. President of Organization:*
    16. Mailing Address:*
    17. Telephone:*
    Email:*

    18. Secretary of Organization:
    19. Mailing Address:
    Telephone:
    Email:

    20. Treasurer of Organization:
    21. Mailing Address:
    Telephone:
    Email:

    22. Names and addresses of two references:*
    22.1
    22.2

    23. Membership categories and fees in United States of America Dollars (US $): $350.00 National Association; $275.00 Denomination; $175.00 Agency; $100.00 Associate Please submit appropriate fees with application.

    24. Will your Organization commit to pay this fee by January 31 of each year?*

    PLEASE ATTACH THE FOLLOWING WITH YOUR APPLICATION
    Constitution & Bylaws of Organization*

    Copy of Incorporation or Registration*

    Membership Fee Payment Receipt*