Denominational Membership Application

Your denomination can join the Common Ground Christian Network either online, using the form below, or by mailing in the printable application form.

Denominational Information
Name of Denomination:*
Number of Congregations:
Number of Members:
Year Established:
Primary Contact Person:*
First Last
Phone:*
Email:*
Website:
Mailing Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Leadership and Authorized Participants
Individuals who will represent your organization/congregation at CGCN meetings and participate in CGCN working groups.
Name Email Phone
Signature
Consent*
I acknowledge that I have the authority to act on behalf of this organization. I affirm that the official decision making body for denomination affirmsthe Common Ground Christian Network mission and purpose statement and that we affirm every tenet of the Christian faith expressed in the “Jesus Christ: Our Common Ground and Common Cause” document.
Signature*
The suggested annual contribution to CGCN for member denominations is $500. How would you like to make the first payment?
- I would like to send a check, please.
- I would like to pay online.
Online Payment
Denominational Membership
Price: $500.00
Credit Card*

Card Details

Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.