Individual Membership

Name*

First Last

Spouse Name (If applicable)

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

International Phone Number

Email*

Sponsoring Full Member Church*

Are you involved in a recognized ministry?*

Do you have consent of the leadership in your local church?*

Pastor's Name*

First Last

Pastors Phone Number*

Pastor's Email*

Do you affirm the RBN Associate Member Statement of faith?*

Link can be found on the "Resources" page.

What exceptions (if any) do you take with the RBN Constitution and Policy Manual?

Links to both can be found on the "Resources" page.

Do you agree not to proselytize or become contentious about differences about the 1689?*

Please manually type in your answer.

Why do you want to join the Reformed Baptist Network?*

Include attachment of recommendation letters from sponsoring full-member church and your local church*

Drop files here or

You Can Give to the Reformed Baptist Network General Fund Online