Organization Membership Application

Please select the membership or affiliate category for which you are applying. *

Organizational Membership (Non-profit organizations that support the CCIH mission and affirm a commitment to the Christian Faith)
Affiliate (Organizations that do not identify as Christian organizations, or are for-profit Christian organizations.)

First Name *

Family Name/Surname *

Job Title

Organization *

Email *

Website

Address 1

Address 2

City

State/Province

Country *

Phone (include Country code)

How did you hear about CCIH?

List all countries where you have a registered office *

Please list all the countries where you currently work. *

What is the total number of full-time employees at your organization? *

How are you funded?

What is your organization's total annual revenue (in USD)? *

If you are affiliated with or belong to a specific denomination, please indicate which.

Timeout Warning

Organization Membership Application