Minister's Benevolent Fund Registration
To Register, please do the following:
1. Submit your registration fee of $25.00 to the State Office.
2. Fill in your registration information.
3. Fill in your beneficiary information.
First Name:
 
Last Name:
  
Email:
  
Address:
  
City:
  
State:
 
Zip:
First Name of Beneficiary
  
Last Name of Beneficiary
  
Address of Beneficiary
 
City of Beneficiary
 
State of Beneficiary
  
Yes I have subitted my payment.
   Yes No