IABC Membership Renewal Form

IABC Membership Renewal Form

In completing the information below, you are requesting that your International Association of Biblical Counselors membership be renewed for the next year. Please provide all of the information requested so that we can ensure our records are current.
Member Information
Member's Name *

First Name Last Name Suffix
Title

Mr. Mrs. Miss Pastor Dr.
Birth Date

Month Day Year
Gender

Male Female
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Please update your profile picture.
Home Number

Area Code Phone Number
Cell Number

Area Code Phone Number
Preferred Contact Number

Area Code Phone Number
Ministry Information

If you are involved with a church or ministry that provides biblical counseling, please include that information here.
Ministry Name
Ministry E-mail
Ministry Number
Ministry Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Language(s) you are fluent in other than English, if any:
If you selected "other," please specify
Please read the following, then sign below, acknowledging and affirming your agreement with the "Statement of Faith," the "Statement of Practice," and the "Affirmations & Denials" of the International Association of Biblical Counselors (IABC).
Acknowledgment of Continuing Affirmation and Agreement

By my signature below, I acknowledge my continuing affirmation of and agreement with the "Statement of Faith," the "Statement of Practice," and the "Affirmations & Denials" of the International Association of Biblical Counselors (IABC).
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Use your mouse or your finger to sign inside the box: *

Clear
When you click the "Submit" button below, you will be taken to our secure payment portal. Once there, you will see these instructions at the top of the page"

"Greetings from IABC! When donating, or paying dues or fees for your New Membership, Membership Renewal, New Certification, or Certification Renewal, please be sure to select the appropriate amount in the dropdown box that says "to Donation". You will then select the category those funds are to be applied to."

Below that you will see this:

In the dollar amount window, type in 60.00.

Below that is a line that reads "Give to Donation." Using the small arrow on the right side of that line, use the drop-down menu and select "Give to Non-certified Member Renewal $60."

Then complete the appropriate information for the form of payment, etc.

If you have any questions, email us at memberservices@iabc.net
Should be Empty: