Renewal Form INTERNATIONAL CHAPLAINS ASSOCIATIONINTERCHAP-GLOBALCREDENTIAL RENEWAL FORMRenewal for one year $39.00PROMOTIONRenewal for two years $70.00All fields with (*) are required Options:*1 Year $39.002 Years $70.00 Badge #:* Current Rank:*SelectSub LieutenantSec. LieutenantFirst LieutenantCapitanMajorLt. ColonelColonel Full Name:* E-mail:* Address:* Address 2: Town:* State:* ZIP:* Country:* DOB (mm/dd/yyyy):* Gender:*MaleFemale ID#:* ID Generator:* Home Phone: Cell Phone: Blood Type:*SelectA+ PosA- NegB+ PosB- NegAB+ PosAB- NegO+ PosO- NegNot Identified Eye Color:*SelectBrownBlackGreenBlueHazel Hair Color:*SelectBrownBlackBlondRedWhiteGrayBold Hight:* Weigth:* Add Photo: Max. Size 2Mb (jpg, jpeg)SubmitEraseAfter submitting this form you will be directed to our payment options. Thank you and may God bless you!