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Name and current address
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Home or Cell phone
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Email address
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Birth date
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Are you currently a member of another church? if so, please give name and address of church
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Have you been baptized?
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No
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If yes to above, where were you baptized?
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Name of spouse
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Maiden name
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Names of your children, birthdates, school grade.
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Would you like to receive our weekly email blasts? If yes, please provide your email address. When you receive the first blast, be sure to "subscribe"
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