ANF Membership Class Registration Form

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Email *

Full Name *

House Church *

DOB *

YYYY

Street Address (Street 1, Street 2, City, State Zip Code) *

Phone Number *

How long have you been attending church? *

How long have you been attending ANF? *

When did you attend RJM or otherwise accept Jesus Christ as your Savior and Lord? *

When were you baptized? *

Any additional questions and/or comments?

Send me a copy of my responses.

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