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Membership Registration

Thank you for your interest in becoming a member of ACT at Work.  There are many positive benefits to membership (Click here to read benefits). 

For a limited time only, all accepted applicants will receive a free copy of Dr. Scott Rosenthal's e-book "Maximizing Your Leadership Potential-From God's Perspective" a $19.95 value.  You can visit Dr. Scott Rosenthal from Career Impact at www.careerimpact.org to learn more about this e-book and his wonderful Christian Career Counseling program.

Also, receive a free copy of Kimberly Chastain's e-book "Pearls of Encouragement for Christian Working Moms."  You can visit Kimberly Chastain at www.christianworkingmom.com to learn more about her e-book and awesome coaching program for Christian moms in the work force or owning their own businesses.

We do require that all members be approved to ensure that our members believe in the same Faith Statements. 

We respect your privacy and will never knowingly share or sell your information.  All information collected is used for the sole purpose of obtaining demographical and religious beliefs of ACT at Work members.  Click here to view our Privacy Policy.

Please send any questions to us at info@actatwork.com.

Want to help spread the word about Acknowledging Christ Together at Work, click here for graphics and text links for your site or newsletter.

Note: All fields that are Bold* and marked with an * are required.
 

Contact Information and Geographic Demographics
Full Name:*

Full Mailing Address:*

Telephone Number:*

Is this phone number your:*
     Work
     Home
     Cell

Email Address:*

Website Address:

Business/Job Information
Business/Job Category* (Please select the category that best describes your work.)
    

Personal Religious Beliefs
What Denomination would best describe your religious beliefs?* (example: Baptist, Lutheran, Catholic, Nondenominational)

Church where you are a member:

Describe your relationship with Christ:*

Faith Statement Agreement
Do you agree with the Acknowledging Christ Together at Work's Faith Statements (Please select Yes only if you agree with ALL the statements.)*  You can view the full Faith Statement by clicking here.

     Yes
     No

Any Additional Information
Anything else you feel is relevant to your membership:

Help us track how the word is being spread!
Where did you hear about us:*
  

Please tell us the name of your referral so we can be sure to thank them:*


We work to get memberships approved as quickly as possible. We will make every effort to approve your membership within 24-48 hours, though we do not guarantee this timeframe, as we rely on volunteers to help us process applications.

Note: ACT At Work uses scripture from the NIV unless another author has written the content.

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