TPH International Pastoral Alliance Application

3635 Dan Morton Dr - Dallas, TX USA 75236
Phone: (214) 331-0954
Email: phipa2@tdjakes.org

Step 1 of 6

Please submit a copy of your Church Mission and Vision Statement. Once the application is reviewed and accepted you will be contacted requesting your first offering / tithes from your monthly income to complete the membership with the PHIPA Alliance.

All payments must be made payable to: PHIPA
Email
Enter Email Confirm Email

Personal Profile
Name
First Last
Birth Date
MM slash DD slash YYYY
Primary Phone Number
Alternate Phone Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you married?*
- Yes
- No
Spouse Name
First Last
Spouse Email
Spouse DOB
MM slash DD slash YYYY
Wedding Anniversary
MM slash DD slash YYYY

Church Information
Church Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Church Email
Church Website
Church Phone
Alternate Phone
Church Fax
Pastor Anniversary
MM slash DD slash YYYY
Year Church Established
Membership Size
Number of Staff and Leadership
Church tax exemption
- Yes
- No
501(c)3 certification
Administrative Assistant Name
Administrative Assistant Email
Administrative Assistant Office Hours