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    New Member Form

    Please chose one.

    Full Name

    Address

    Home Phone

    Work Telephone

    E-Mail

    May we publish your address in the Church Directory?
    • Yes, please add my address to the directory
    • No, please do not add my address to the directory.

    Date of Birth

    City and State of Birth

    Baptized?
    • Yes
    • No

    Have you been Confirmed?
    • Yes
    • No

    My current Church membership is at: (Please include name, location, and denomination)

    Please select from the following:

    Children?
    • Yes
    • No

    From time to time we take pictures at our events and post them to the web site. Do we have your permission to use these photos of you and your family on our site?
    • Yes, you may use photos of me and my family on the Church web site
    • No, please do not use photos of me or my family on your site.

    Do you have any questions or concerns?

    Would you like to receive the church newsletter via e-mail?
    • Yes
    • No

    Would you like to receive important church information/announcements via mass e-mail?
    • Yes
    • No


    Related Pages

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