Password Request Form
Instructions:
  • Please complete all applicable fields. Leave non-applicable fields blank. 
  • If approved your password will be sent to you via e-mail so please ensure you enter your e-mail address correctly!
  • Thank you!
[1] Previous Passwords
Have you previously had a password for the CMML Flight Service Member Site? Yes    No
[2] Personal Details
Dr. Mr   Mrs  Miss   First Name: Last Name:
Nationality:  
Status in Zambia: Visitor   Resident   On Work Permit   On Entry Permit   Other:  
Are you:
[a] A missionary? If so which mission? CMML   Baptist   SIM   Methodist  CAM Other:    
[b] Visiting a  missionary? If so which mission? CMML   Baptist   SIM   Methodist CAM  Other:    
[c] Other:
Your permanent address:
Place/Street: 
City/Town:       

Province/State: 
Country:              Zip Code: 

Phone Number:
Email:             

If you are  visiting people in Zambia please fill in their details below:

Name:          
Place/Street: 
City/Town:        Province: 

Phone Number:
Email:             

[3] Additional Information

Why would you like to use the CMML Flight Service Member Site?

How did you find out about the CMML Flight Service Member Site?

Comments
Please provide any other information that may be applicable:

I understand that the password assigned to me is for my personal use only and may not be divulged to any third party.
(Tick the box to indicate compliance)

Please click the "SUBMIT BOOKING" button only ONCE and wait for the Thank you page to be displayed. 
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