BAC Electoral Roll (Membership List) Application Form
This form is for applying to be on the Electoral Roll (Membership List) of Berwick Anglican Church (the Parish of Christ Church Berwick).

You must be on the Electoral Roll in order to vote at the annual meeting and to nominate to be an office bearer at Berwick Anglican Church.

The criteria is that all answers on this form must be answered with a YES. If any answer is a NO, you cannot be a member of the electoral roll at Berwick Anglican Church.
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What is your full name? *
What is your residential address? *
Do you declare that you have attained the age of 18 years? *
Have you been baptised? *
Are you a member of the Anglican Church of Australia (to be a Member of the Anglican Church you must have either been baptised in an Anglican Church, or have been formally received as a member of the Anglican Church)? *
Do you declare that your name is not on the electoral roll (membership list) of any other Parish in this Diocese? *
Have you habitually attended public worship in the Parish of Berwick Anglican Church for at least the past 3 months? *
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