BTC Membership Request
Want to become a member of Bethesda Temple Church? Complete/Submit this form, and our Membership Coordinator will follow-up with you! 
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Email *
First Name *
Last Name *
Phone Number *
Street Address *
City *
State *
Zip Code *
Date of Birth *
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DD
/
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Were you baptized in Jesus Name previously? *
If yes, where & what date were you baptized in Jesus Name?
Did you receive the Holy Ghost previously? *
If yes, where & what date did you receive the Holy Ghost?
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