Professional Documents
Culture Documents
Mbmaa Membership Form
Mbmaa Membership Form
Mbmaa Membership Form
Personal:
Name: (Miss, Mrs., Ms.)__________________________________________________________________
Place of Employment:____________________________________________________________________
Postion:_______________________________________________________________________________
Supervisors Name:______________________________________________________________________
Office Address:_________________________________________________________________________
City:__________________________ State:________________ Zip:______________________________
Telephone: ___________________ Fax:_____________________ E-mail:_________________________
Home Address:_________________________________________________________________________
City:__________________________ State:_________________ Zip:_____________________________
Home Telephone:_________________________ Cell Number:__________________________________
Church Membership:_____________________________________________________________________
Special Talents:_________________________________________________________________________
Area of Ministry:
List Positions you have held in church, association, and /or denomination:
______________________________________________________________________________________
______________________________________________________________________________________
List conferences you have led or taught:
______________________________________________________________________________________
______________________________________________________________________________________
Signature:______________________________________________________________
Please make $ 15.00 check payable to: MBMAA
Mail dues to: Amy Massey
c/o MBCB Baptist Record
PO Box 530
Jackson, MS 39205
Please remember to include this form with your check.