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Virtual/Online New Members
Welcome to the Heights!
Please complete the following information for membership records.
Someone from our staff will contact you with the "Zoom Virtual Member Class" information within 48 hrs.
*All information will be kept confidential
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Date Joined
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What platform did you watch our services on?
lhmbc.net
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Uniting By
Christian Experience
Letter
Watch Care
New Convert
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Last Name
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First Name
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Date of Birth
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Gender
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Marital Status
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Mailing Address
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City
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State
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Zipcode
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Home Phone Number
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Cell phone Number
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Work Phone Number
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Check preferred method of contact:
Home #
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What is the best time to make contact?
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Country
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Email address
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Spouses Name
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Is spouse a member of this church?
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Occupation
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Work Phone
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Previous Church
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Emergency Contact Name
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Emergency Contact Number:
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If under 18 years of age please provide Parents Names:
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Are they members of this church?
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No
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Have you been baptized?
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Do you desire to travel to Lincoln Heights Missionary Baptist Church on the 4th Sunday to be baptized?
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Maybe
n/a
Other:
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