ABOUT THE MINISTRY
Our Faith & Vision
OUR PASTOR
MEDIA
PRAYER
NUGGETS OF WISDOM
ABOUT THE MINISTRY
Our Faith & Vision
OUR PASTOR
MEDIA
PRAYER
NUGGETS OF WISDOM
New Member Information
Please complete the form below
Name
*
First Name
Last Name
Date of Birth
*
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Spouse's Name
First Name
Last Name
Spouse's Date of Birth
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Have you received Jesus Christ as your savior?
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I have some questions
Contact Information and Preferences
Address
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Address 1
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City
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Country
Email
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Phone
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(###)
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How can you be reached?
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Please select all that apply.
Phone Call
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Mail
Additional Family Members
Child #1
Child #2
Child #3
Child #4
Child #5