1. Full Name (as you wish it to appear on your membership credentials):
________________________________________________________________
2. Your Mail Address:
___________________________________________________
___________________________________________________
3. Tellephone Number:
Home:_________________________
Cell:___________________________
work:__________________________
4. E-mail Address:___________________________________
5. Website:_________________________________________
6. Date of Ordination by Shield Of Faith Christian Ministries ____/____/____
(month/day/year), Ordination not a requirement
7. Check One: ______Male _____ Female
8. You must agree to the following to be accepted into our order and receive the rank of Knight's Squire
"I state that I seek to join Knights of The Holy Order of Deborah for honorable purposes and with a sincere heart. I agree
to endeavor to follow the discipline of this rank, and to study God's Holy Word with an aim toward self-improvement and building
my personal Christian Character, that I will always seek to do my best for the order, that I will endeavor to act to always
reflect well on the order, and that I will respect and show true Christian love and compassion toward all peoples, and especially
my fellow members of this order. I further state that I will also seek to always reflect positively on Shield Of Faith Christian
Ministries, the sponsoring ministry of this order."
________ I agree to the above. (Recommendation and request cannot be processed unless checked)
Sir Albert J. Martin
Grand Knight
Print and fill out this form and mail it along with a check or money order in the amount of $30.00 made out to:
Rev. Dr. Elizabeth Newman
Mail to:
Rev. Dr. Elizabeth Newman
K.H.O.D.
P.O. Box 000
Fayetteville, Tn.