Reinstatement Form – Associates | Evangelical Press Association

Submission of this application requires that you agree with EPA's Statement of Faith and that you will adhere to EPA's Code of Ethics.

Name*
First Last
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Your submission of this application is certification that you qualify to be a member and that you subscribe to EPA’s Doctrinal Statement, as well as EPA's Code of Ethics.
Do you agree with EPA's Doctrinal Statement?*
- Yes
- No
Do you agree with EPA's Code of Ethics?*
- Yes
- No
Annual Associate Member Dues*
Price: $75.00
Optional Donation
You can support the work of EPA through an additional contribution beyond your annual dues.
Total
$0.00
Pay Now
Payment now by credit card is preferred, but not required. You'll get a credit card confirmation receipt emailed to you immediately. Later, we'll email you a sales receipt for your records.
- Pay by credit card
Pay Later
We'll generate an invoice and email it to you.
- Bill me
Credit Card

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MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address for Credit Card*
Street Address City State / Province / Region ZIP / Postal Code Country

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