SPONSORSHIP APPLICATION - Jericho Road Ministries: Longview, Texas

Sponsorship Application

Applicant

First

Last

IF OTHER PLEASE SPECIFY

PREFERRED COUNTRY *

ZAMBIA

MALAWI

NAME OF CHURCH *

CHURCH ADDRESS *

CITY *

STATE *

ZIP *

CHURCH PHONE *

CHURCH EMAIL *

CHURH WEBSITE *

PASTOR’S NAME *

PASTOR’S PHONE *

PASTOR’S EMAIL *

NAME OF LIAISON OFFICER *

(The Liaison Officer is the representative of the applicant who serves as the link for communication between JRM and the applicant.)

LIAISON ADDRESS *

CITY *

STATE *

ZIP *

LIAISON PHONE *

LIAISON EMAIL *

I have read and agree with the Statement of Faith posted at the Jericho Road Ministries website. *

I agree

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