Individual Membership Application

The easiest way to join the Common Ground Christian Network is to sign up online. Membership dues may be paid as part of the application process, or you can mail in the application form and/or dues to:

Common Ground Christian Network
c/o Kevin Rudolph
10555 Spring Cypress Rd.
Houston, TX 77070

Personal Information
Name*
Title First Last
Phone
Phone 2
Email*
Website

For example, your blog, radio show, podcast, etc.
Books you've authored
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Professional Information
Your current position:
Current employer:
For how long?
Business address (if different from above):
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Previous ministry positions:
Denomination/Church/Organization
Denominational Affiliation:
Your role(s):
Church name:
Your role(s):
Organizations:
Your role(s):
Signature
Acknowledgment:*
I acknowledge that I affirm the Common Ground Christian Network mission and purpose statement and that I 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 individual members is $100. 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
Individual Membership
Price: $100.00
Credit Card*

Card Details

Cardholder Name
Comments
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Personal Information

Professional Information

Denomination/Church/Organization

Signature

Online Payment

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Personal Information

Professional Information

Denomination/Church/Organization

Signature

Online Payment

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