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General Information Organization Name Your Name Telephone Number E-Mail Address Headquarters Address City State Zip Country

Note: Only registered charities or non-profits in the US or Canada are eligible for membership in The Mission Exchange.

Leader Information CEO / President / General Director Name Title E-Mail Telephone Mobile Phone

Organization Information Denominational or Non-Denominational? Is Your Organization Responsible To A Board of Directors? Total Number of Trustees?

New Trustees Are: Appointed By President Elected By Board Elected By The Membership

We Are Also A Member Of: AFMA ECFA CrossGlobal Link AERDO

Place of Incorporation: Date of Incorporation: Number of Missionaries in Active Service (including spouses): If you do not send missionaries, which of the following would best describe your contribution to world evangelization? (select all that apply - use the "Ctrl" key to select multiple options)

Fields where your organization is working: Africa Asia Caribbean Europe North America South America

Annual Income

Note: References are not required for Associate Membership Applications

Reference #1 Name Address City State Zip E-Mail Confirm E-Mail

Note: References are not required for Associate Membership Applications

Reference #2 Name Address City State Zip E-Mail Confirm E-Mail

Note: References are not required for Associate Membership Applications

Reference #3 Name Address City State Zip E-Mail Confirm E-Mail

Agreement I agree I have read and agree with the National Association of Evangelicals statement of faith and our organization is a legally recognized charity / non-profit in the US or Canada, and has a board of at least 5 directors with policy making authority that meet at least semi-annually.

"It is an encouragement to be a part of The Mission Exchange and know God has raised up so many organizations devoted to fulfilling the Great Commission. The diversity of size and focus of member entities enhance the value of networking and partnership in seeking to carry out our mission."

Jerry Rankin, President International Mission Board,
SBC