Mission Partner Application

Please fill out the information in each section below. If a section does not apply, please write ‘N/A’.

MATTHEW 25: MINISTRIES MISSION PARTNER APPLICANT INFORMATION

Organization's Legal Name(Required)

Organization’s Known Name(Required)

Tax ID/Fiscal Identification Number(Required)

Office Address(Required)

Street, Suite, City, State, Postal Code, and Country

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PRINCIPAL CONTACT INFORMATION

Principal Contact Full Name(Required)

First Last

Principal Contact Title(Required)

Email Address(Required)

Enter Email Confirm Email Address

Phone Number(Required)

WhatsApp Number

Fax Number

SHIPMENT INFORMATION

Warehouse Address(Required)

Street, City, State, Postal Code, and Country

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Port of Entry(Required)

Principal Logistical Contact (PLC) Full Name(Required)

First Last

PLC Email Address(Required)

Enter Email Confirm Email Address

PLC Phone Number(Required)

PLC WhatsApp Number

Fax Number

LOGISTICAL CAPACITY & NEED

Describe the established or planned logistical process for receiving humanitarian supplies from M25M.(Required)

List the type(s) of product(s) you are seeking to receive.(Required)

Destination country(ies) and preferred destination port for the shipments from M25M.(Required)

Estimated number of shipments (per country) your organization has imported to date.(Required)

Date of the last shipment imported.(Required)

Are you able to import donations free of any import taxes or fees?*(Required)

*Mission Partner is responsible for paying any import taxes or fees.

INDUSTRY REFERENCES

REFERENCE #1 INFORMATION

Reference Organization’s Name(Required)

Reference Contact Person Full Name(Required)

First Last

Reference Contact Person Email Address(Required)

Reference Contact Person Phone Number(Required)

REFERENCE #2 INFORMATION

Reference Organization’s Name(Required)

Reference Contact Person Full Name(Required)

First Last

Reference Contact Person Email Address(Required)

Reference Contact Person Phone Number(Required)

MATTHEW 25: MINISTRIES CONTACT

Who is your main contact person at Matthew 25: Ministries?(Required)