Military Referral Form

Complete this referral form to provide contact information for yourself or someone else to receive ministry in WELS Military Services. A field marked with a red asterisk * is required.
Change request
Are you reporting an update to previously submitted information?
- Check box if you are requesting an update to information already submitted.
Is the person you are referring an European Union (EU) resident?*
- Yes
- No
We are not able to send materials to European Union (EU) residents without their expressed permission according to the European Union's General Data Protection Regulation (GDPR). EU residents may request our materials directly by contacting WELS via our Contact Us form.

Complete the following fields for WELS Military Services
Name*
First Middle Last Suffix
Gender
Marital status
Address line 1
Address line 2
Address line 3
Postal/Zip code
Country
E-mail 1*
E-mail 2 (optional)
This field is hidden when viewing the form
E-mail 1 - HIDDEN
Enter Email Confirm e-mail
This field is hidden when viewing the form
E-mail 2 (optional) - HIDDEN
Enter Email Confirm e-mail
Phone*
Rank*
Military branch*
Installation/Ship
Out on the field
- Deployed
handout material
- Send me a free Christian Service Member's Handbook.
- Send me a free camo Bible.
Additional comments

WELS Special Ministries assists local congregations in serving their members and wishes to keep the church informed of our contacts with their members. Please provide information regarding the church of which this person is a member, if any.
Church name
Pastor's name
City
State/Province
If you are submitting information for someone else, we may need to ask you for more information. Please provide us with your contact information.
E-mail of person submitting the form*
Additional information
Data Privacy & Permission*
I AGREE with the terms of the WELS Privacy Policy.
NOTE TO EU CITIZENS, RESIDENTS, TOURISTS, AND OTHER PERSONS TEMPORARILY IN THE EU:

By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.

WELS Help Desk: [email protected] or 414-259-4357 | Privacy policy
Ref: WELS Special Ministry Referral Form