Missions Application

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To apply for a mission trip, please take the time to fill out the information below.

Name as it appears on Passport:

Date Passport Expires

Birthday

Email

Phone

Address

Church or Ministry You are Connected With:

Please Submit a copy of your Passport photo page that is clear and legible. (This info is used in the purchase of plane tickets and in case a problem should arise or your passport is lost or stolen).

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How to Join

Patria Ministries
International

7249 Elliot Lane, Leeds, Alabama 35094 | info@patriamin.com | Tel: 205-855-2555

@2022 Patria Ministries International

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