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Membership Update
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MEMBERSHIP UPDATE 2021
Name
*
Your answer
Address
*
Your answer
Email Address
Your answer
Mobile Phone number
*
Your answer
Home Phone number
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Marital Status
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Single
Married
Divorced
Separated
Widow
Widower
What is the date of your wedding anniversary? (If applicable)
MM
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DD
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YYYY
Have you been Water Baptized in Jesus' Name?
*
Yes
No
Not Sure
Have you received the gift of the Holy Spirit?
*
Yes
No
Not Sure
Have you received Right Hand of Fellowship here at UAC?
*
Yes
No
What ministries are you involved in?
Your answer
What ministries would you want to be involved in?
Your answer
What is your profession?
Your answer
List your skills
Your answer
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