This form is reserved for Idea Network Members who have already activated their membership.

First Name

Last Name

Address (where you would like your bonus box shipped)

Select if you pick up your box at the Summit

Phone Number

Your name and church/ministry name as you would like it to appear on your offcial badge. Example: Line 1: Fred Murray Line 2. Southern Hills Church (If you have already received your badge, write "already received badge.")

Full name & organization name of the nonprofit/missionary to whom you would like to gift a membership: (optional)

Name of Member who referred you:

Click here to download your first resource from the Member Resource Library!