ICEJ Membership Form

Please complete the Membership form - to ensure that we can post the "Word from Jerusalem" magazine to you - an email address is required to uniquely identify you - (Spouse information at the bottom of the form) - If you are updating your membership details, then you must fill in an email address and you only need to then fill in the fields you wish to update, the rest you can leave blank.

Name Prefix

First Name

Last Name

Birthday

Email *

Home Phone Number

Mobile

Street Address

Address Line2

City

Postal/Zip Code

Province

Country

Spouse (Wife)

Spouse Prefix

Spouse First Name

Spouse Birthday

Spouse Email

Spouse Mobile

Isaiah 62

Isaiah 62 Prayer Initiative

We respect your privacy and will never share your contact information with any third party.

Membership is free, and if you provide your physical address then we will send you the "Word from Jerusalem" magazine. Your donations keep the work of the ICEJ going in Israel. Please also consider paying the optional R230 annual membership fee.