CCIH Membership Application - Individual
The mission of Christian Connections for International Health (CCIH) is to promote global health and wholeness from a Christian perspective. Individual membership is open to anyone who supports the CCIH mission. Membership is granted upon receipt of application and payment of the requested (tax deductible) contribution. No Board action is required, but the Board reserves the right to review individual applications.
First Name
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Last Name (Family Name)
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Gender
Organization (or School)
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Position/Job Title
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If student, course of study and expected graduation date.
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Email Address
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Phone Number
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Street Address
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City, State, Zip Code
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Country
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