Chapter President Membership Form
Please fill out ONLY if you pursue opening a Destiny Arising Chapter in your area
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Email *
Disclosure: By submitting this questionnaire you acknowledge that this does not constitute an automatic approval to form a chapter. After reviewing these questions if you get selected to move forward you will be invited to participate in a special meeting so we can get to know you a little bit better. We will make our final determination and notify you of our decision 30 days after our meeting. *
Required
Name *
DOB *
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Cell Phone Number: *
Postal Address: *
City *
State *
Zip Code *
Country *
Ministry/Church/Business Web page (if applicable):
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