The Micah Mandate

Membership Application
& Statement of Affiliation

Forging Men. Restoring Order. Advancing Righteousness.

The Micah Mandate is a Christian men's organization committed to building men of strong, active faith who bring biblical truth to bear upon their families, churches, communities, and the broader culture.

Membership represents an affirmation of our Christian convictions, an intention to participate in our brotherhood, and a commitment to advance our mission.

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01Personal Information

Full name (required)

Email address (required)

Mobile phone (required)

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Date of birth (optional)

Street address (optional)

City (required)

State (required)

ZIP code (required)

How did you hear about us? (optional)

02Family, Church & Professional Information

Marital status (optional)

Do you have children? (optional)

Home church (required)Not currently affiliated

Denomination (optional)

Occupation / profession (optional)

Areas of Interest and Service (optional; select all that apply)

03Statement of Faith & Membership Commitments

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04Acknowledgment & Digital Signature

I have read and agree to The Micah Mandate's Statement of Faith, mission, and membership commitments. (required)

How your membership information is used

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I have reviewed the membership privacy notice and understand how my information will be used. (required)

You may email me optional Micah Mandate group communications about fellowship and service opportunities. (optional)

Digital signature (required)

Type your full legal name as entered above. This typed name records your acknowledgment of the statement shown here.

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Membership Application
& Statement of Affiliation

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