RUMC Member Information
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Email *
Head of Household Information
Please complete the following section for the Head of Household. Spouse and children information are in the following sections.
Full Name *
Preferred Name (Nickname) *
Current Marital Status *
If married, please provide date
MM
/
DD
/
YYYY
Street Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Email *
Include in directory? *
Date and place of birth *
Baptism, Confirmation, and Transfer Information
Enter "RUMC" if you were baptized and/or confirmed at RUMC; the church will have this information.
Baptism Date, Baptism Church, Officiating Pastor, Sponsor(s):
Confirmation Date, Church, Officiating Pastor, Sponsor(s):
Transfer in from another church (date of reception, sending church, receiving pastor):
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