Member Enrollment - Anglican Care

Anglican Care Member Registration

Join our Christian Healthcare Sharing Ministry

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Street Address *

City *

State *

ZIP Code *

Sharing Program Selection

Program Tier *

Household Type *

Primary Member Age Band *

Add Catastrophic Sharing Add-On (+ $1,000,000 Limit)

Adds $1,000,000 in additional sharing capacity for catastrophic medical needs.

Payment Method & Frequency

Payment Method *

Payment Frequency *

Provide your bank account details below. This information is encrypted and stored securely. Our team will use it to set up your ACH transfer directly. You will not be charged until your membership is approved.

Bank Name *

Account Type *

Routing Number (9 digits) *

The 9-digit number on the bottom left of your checks.

Account Number *

The account number on the bottom of your checks.

Preferred Debit Day *

Agreements & Statement of Faith

Statement of Faith Agreement *

I attest that I believe in the Christian faith, live by biblical values, practice personal health responsibility, and pledge to support fellow believers in medical needs.

Membership Terms & Guidelines *

I have read and agree to the Anglican Care Sharing Guidelines and understand that this is a healthcare sharing ministry, not guaranteed coverage.

ACH Authorization

I authorize Anglican Care to initiate debit entries from my bank account for monthly contributions. I understand I may cancel this authorization at any time.