Name*:
Date: State*:SelectNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaAustralian Capital TerritoryNorthern Territory Phone:
Email*: I wish to be a member of FUESIA and make the following declaration: I solemnly affirm that I have accepted Jesus Christ as my personal Saviour, Lord and God. I agree to the doctrinal basis and the aims and objectives of FUESIA. I also agree to actively support FUESIA ministry.