Become an e-Member

If you would like to connect with our church as an e-member, please fill out the information below. We ask that you pray for us, listen regularly to the services, and take the love of God to all those who you come in contact with.


Your Salvation Testimony (1 to 2 paragraphs)



Agreement with EMIC Mission Statement

This mission of Eagle Mountain International Church is to teach Christians worldwide who they are in Christ Jesus and how to live a victorious life in their covenant rights and privileges. The fulfillment of that mission takes place when those believers become rooted and grounded enough in God's Word to reach out and teach others these same principles.


Initial to say you agree:  



Contact Information
 

First Name:

Last Name:

Address:


City:

 

State:

Postal Code:

 

Date of Birth:

Country:

Phone:

 

Email:

 

   Sign my spouse up too!

Spouse First Name:

Last Name:



General Information
 

How often do you listen to EMIC Services?

 
   

Every Week

 
   

1 - 4 times per month

 
   

1 - 4 times per year

 

 

Are you regularly attending a church in your local area?

 
   

Yes

 
   

No

 


        (Please click only once)