New Member Form ("Pink Sheet")

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This form is submitted at the end of the New Member class. If you submit a form and have not taken the New Member class, you will be contacted.

Email *

Please complete the first section for the primary member. If there is a spouse/partner and/or children, they are in the next sections.

Primary Member's Name *

Mailing Address *

Best Phone *

This is a *

Cell phone

Landline

Birthdate

YYYY

Married? (If so, date. If not, skip.)

YYYY

Baptized? *

Yes

Would like to be

Confirmed?

Yes

Clear selection

Emergency contact *

Ready to join? *

Yes

Not sure

Please make me a name tag

Required

Prior church membership, if any (name and address of former church):

Would you like us to request a letter of transfer from your former church? *

Yes

No/not applicable

Would you share a little about yourself and/or your family (occupations, hobbies, interests) to include in our newsletter?

I have received information on how to make a financial pledge to support the ministries of Plymouth UCC *

Yes

Not yet; please send.

I have questions; please contact me.

I have a spouse/partner to add

Yes

Clear selection

Clear form

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