Member Renewal

Personal Information

This information will be used to update our Member Directory. Please ensure that your information is entered in accurately. (Items marked "Optional" should be interpreted "As Applicable").

Name

This address will receive a confirmation email

Mobile Phone

Home Phone

Work Phone

Fax

Address

Marital Status

Single Married Divorced Separated Widowed

Spouse's Name

If you are a pastor, please provide the name and the location of your Church.

Optional - Please provide an updated picture of yourself that the home office could use for internal records.

Upload (8MB)

Questionnaire

The purpose of this Questionnaire is to validate that you are still qualified to serve as a member of the IMA. Please answer each question honestly.

Please provide a ministry update from this past year. Please explain any changes in place or vocation.

Has your marital status changed? Please type

Have you been charged with any crimes? (If yes, please explain).

Have you been charged with sex crimes or sexual misconduct? (If yes, please explain).

IMPORTANT! Are you willing to abide by the rules and bylaws of the International Ministerial Association? (If NO, please explain).

Payment Method

Please select the correct fee for your membership level. If you are unsure of your membership level, please contact Josiah Hodgett, Member Services Coordinator, at 812-550-1240. You must pay the corresponding fee in order to maintain your membership with the IMA.

If you are interested in changing your membership level - you must re-apply for that level, following the process as outlined in the Member Application. Remember, completed applications go to your District Chairman first before being sent to the IMA Home Office.

Membership Dues (Non-Tax Deductible)

Love Offering Volunteer (Tax Deductible)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Member Renewal

Description

Please Fix the Following