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Current Membership Form
We are updating all church files to ensure we have the correct contact information, including family member names, birthdays and anniversaries
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Contact Number
*
Your answer
Mailing Address (Pastor B writes handwritten notes)
*
Your answer
Please list your birthdate
*
Your answer
Option 1
Clear selection
Please list your wedding anniversary
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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