Membership

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I would like to:

Your Name *

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Last

Your Home Address *

Your Phone Number *

Your Email *

Your Date of Birth *

Would you like to transfer your Membership? Please list your previous church's name and address.

Transferring with your Family? Please list (Name/Birthday/Phone/Email/Spouse or Child)

Non-Transferring Household Members? Please list (Name/Birthday/Phone/Email)

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