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Church Membership Form
Filling out this form does not make you a member. You must go forward during the time of commitment and be voted on by the church. Please let one of the pastors know when you plan to join.
Your name
*
Last name
Email address
*
Birthdate
Date
Gender
*
Select…
Male
Female
Phone number
*
Phone type
Mobile
Home
Work
Other
Marital status
*
Select…
Single
Married
Widowed
Anniversary date
Date
Household Members Joining the Church
*
Household members
+ Add adult
+ Add child
Address
*
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Makes the Following Public Commitment
*
Accepts Christ as Personal Lord and Savior
Desires Membership in This Church by Baptism
Desires Membership in This Church by Statement
Desires Membership in This Church by Letter
Rededicates Life to Christ
Other Decision
If You Selected "Desires Membership in This Church by Letter" Please Fill Out the Following:
Church Name and Church Address that Letter is From
Submit
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