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FIRST TIMER

NEW MEMBER FORM

Instructions: Please fill out the form below and then click on the SUBMIT button. To travel in-between fields use the TAB key not ENTER or your request may be submitted prematurely.

Full Name (First Name First)  
Email  

Martial Status
(check one)
Married Widowed Divorced Separated Single

Name of Spouse if Married  
Address  
City  
State  
Zip  
Home Phone  
Date of Birth   his her
Anniversary if married)  
Employment (please include the name of company, position, address, phone, and fax number)

His employment




Her employment

 

Children (please give names, birthdays, and the date and place baptized if applicable)

 

I would like to join at service

Sat. 5:30 Sun. 8:15 Sun. 9:30 Sun. 10:50 Please have a pastor call me

If transferring

Name of Former Church

Address

City

State

Zip Code


WORSHIP SERVICES

Sunday Morning & Evening
8:15 am - Traditional Worship
9:30 am - Contemporary Worship
10:50 am - Traditional Worship
5:30 pm - Contemporary Worship

Sunday School
9:30 am - Sunday School
10:50 am - Sunday School

Saturday Evening
5:30 pm - Contemporary Worship
In Family Life Center
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