Non-Member

Date

First Name*

Last Name*

Email Address (If Applicable)

Phone*

Address * (If not Available, Type N/A In Box)

State Or City*

Zip *

Providence (If Applicable)

Country*

What Are Are You Seeking Advise, Training, Mentoring, Or Direction In?*

Please Tell Us What Category Or Categories Best Relates To You*

What Has God Called You To Do?, If You Know*

How Can We Best Serve You*

If Other, Please Let Us Know How We Can Help

If You Are Overseeing A Church Or Ministry, Please Tell Us The Name Of The Organization

Church Or Ministry Address if Available (Not Mandatory)

State Or City

Country

What Is The Best Way To Contact You*

Churches, ministry organizations, ministers, and individuals can receive free care, ministry training, prayer support, accountability, and encouragement but they are independent. This means they are not authorized representatives, or are authorized to use logo's or any property of Kingdom Construction Crew Ministries Inc. unless otherwise stated, and proper signed legal documentation has been issued from this Association/Network.

By electronically signing this form you agreeing to the above information and are requesting to be in relational affiliation with this Association. Please type your full name below.*

Kingdom Construction Crew Ministries Inc. Relational/Partnership Affiliation Form