Edgewood Assembly of God Church Membership Application- Membership Class - Wednesday, March 20th @ 7pm
Please complete form and plan to join us for Membership Class on Sunday, March 17th after the morning service.
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Email *
Name (first, last) *
Birthdate *
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Gender *
Home Address *
Home Phone #
Mobile Phone #
Marital Status *
Marriage Anniversary (if applicable)
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DD
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YYYY
Children's Names & birthdates (if applicable)
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