Affidavit of Purpose
I, ___________________________ (print name) hereby avow that I personally will be traveling on the ______________________ (airline) ticket provided and that I am traveling expressly for missionary purposes and not for either business or leisure. (Heads of household can sign one form per family).

As demostration of the validity of this affirmation, I am hereby furnishing the name as a address of the sponsoring organization listed below.
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Organization Name: ______________________________________________

Organization Address: ________________________________________________

Organization City: ___________________________ State: _____ Zip: ____________

Organization Phone: ____________________ Fax: ________________________

The religious organizations non-profit Federal ID Number: _________________________

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Name of Traveller: (printed): _______________________________________________

Traveller Address: ________________________________________________

City: ___________________________ State: _____ Zip: ____________

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Signature: _________________________________________________

Date: _________________________________