Please enable JavaScript in your browser to complete this form.Are you currently affiliated with an organization? *YesNoDo you currently have an active ministerial license? *YesNoWhat is your ministerial title? *ApostleBishop (Diocesan)Bishop (Non-Diocesan)Suffragan BishopDistrict ElderOverseerElderMinisterPastorOtherLegal Name: *FirstLastName of Church: *Church Address (Location where services are held.): *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease select the District that your church falls under. (This is required to route your inquiry to the right District point of contact.) *District 1 (DC, DE, MD, W.VA)District 2 (Illinois)District 3 (NC, VA)District 4 (SC, GA, TX, FL)District 5 (IA, NE, CA, WY)District 6 (AL, MS, FL, LA)District 7 (IL, MI, IN)District 8 (Canada)District 9 (Philippines)District 10 (Texas)District 11 (Nevada)District 12 (Dominican Republic, Haiti, St. Lucia)District 13 (New York)Not ListedContact Number: *Email Address: *Disclosure: By submitting this form, you agree to allow your contact information to be sent to the AFFI General Secretary and disseminated to the appropriate AFFI Episcopal District point of contact. Captcha * = Submit