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Partner Profile Information The following information you disclose will be kept private to the best of our ability. Please fill in ALL applicable information relating to you. Each person irrespective of age needs to have their own form. It is your responsibility to request a new form if your information changes.

Date of Birth (no year)

DAY / MONTH

First Names (Full) Surname (Full) Residential Address (Current)

Is the residential address your postal address? If not please fill in your postal address below.

Area Code

Postal Address (Current)

Area Code Marriage Status (tick one) Spouse (Full Name) Child 1 (Full Name) Child 2 (Full Name) Child 3 (Full Name) Child 4 (Full Name) Child 5 (Full Name)

Single

Married

Widowed

Divorced


Partner Profile Information (Page 2) The following information you disclose will be kept private to the best of our ability. Please fill in ALL applicable information relating to you. Each person irrespective of age needs to have their own form. It is your responsibility to request a new form if your information changes.

Home Telephone Work Telephone Fax Number Mobile Number 1 Mobile Number 2 Can we send you periodic updates, adverts and information via SMS?

Yes

No

Would you like to take part in Monday night “PRAYER FEVER�? (A weekly SMS prayer action - you receive 5 prayer requests to pray over at 19:30 every Monday evening)

Yes

No

Yes

No

E-mail Address 1 E-mail Address 2 Facebook Profile Can we send you free resources or links to resources, related to the ministries and functions of The ear2hear Network? Preferred method to receive resources from The ear2hear Network: E-mail digital softcopy

Postal Service Physical hardcopy

Facebook Group Links for download

Would you like to assist in sharing resources such as tracts, newsletters, booklets and bibles with others? If YES, how many people (roughly) do you wish to serve wth resources?

I will collect Resources from an agent Yes

No Quantity E.g. 12 people

EMERGENCY NUMBERS Family or friends we can call in case you are in trouble. Also helps us with hospital visitation etc... Full Name Mobile

E-mail

APPLICATION FOR INDIVIDUALS  

Join THE EAR2HEAR NETWORK as an individual person or independent missionary.

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