Statement of Affiliation
Rev 09/2025 
Statement of Affiliation with MESSIANIC HEBREW ORGANIZATION 
Date: ____/_____/__________ 
Church Name: Beit 	_________________________________________
Church Founding Date: Ethnicity:	 ______________________________
Mailing Address:	__________________________________________
Physical Address:	 _________________________________________
Association:	 _______________________________________________
Church Phone: Email:	 ____________________________________
Website:	 _______________________________________________
We affirm that we are in agreement with the doctrinal position found in the Constitution and Bylaws of the Messianic Hebrew Organization . [Article III]:
Constitution & Bylaws, Article IV Section 2-A. Method of Churches Becoming Affiliated
Any Messianic Hebrew Organization desiring affiliation with the Organization shall complete an affiliation application affirming that it meets and intends to continue to meet the Affiliation Qualifications, and shall make an initial contribution to the Cooperative Program through the Convention. The application form and contribution must be received at the Convention office at least ninety (90) days prior to the annual meeting in order to have the messengers seated that year.
Based upon our official church action, it is our desire to affiliate with the Messianic Hebrew Organization .
Date of Church Action: ____/________/_______
We desire: [  ] Unique Affiliation [  ] Dual Affiliation:
[ ] Initial contribution is $___________.____
(A church will be affiliated with the MHO once its affiliation form with the initial contribution has been received in the office, reviewed and recommended by the Credentials Committee and approved by the Executive Board.

For office use only:
File No: Date Received: _______________  _______/_________/____________
Church Total: Verified by: ____________________________________
MHO ID Number: _____________________
Initials: ___________________