It worth joining and sacrfiicing for!

please simply print the form and complete it and send to #22 Agbado Street, off Akpakpava Road, Benin City, Edo State, Nigeria. OR copy the form to microsoft word and complete it and send to noble_missions@yahoo.com and also to the international secretary-Pamela Llamas(USA) at pamllamas@juno.com and international P.R.O. -Awini Isaac{Ghana} at isaac2christ@yahoo.com

MEMBERSHIP FORM

 

FIRST NAME:

 

LAST NAME:

 

TITILE:

 

CONTACT HOME ADDRESS:

 

EMAIL:

 

PHONE: HOME:

 

              : OFFICE:

 

              : MOBILE:

 

DATE OF BIRTH:

 

GENDER:

 

MARITAL STATUS:

 

BORN AGAIN:

 

HOW DID YOU HEAR ABOUT US (PLEASE SPECIFY NAMES):

 

ADDITIONAL NOTE (QUESTIONS/COMMENTS):

 

 

 

 

 

 

 

 

 

 

 

 

 



empowering youths for quality living!