Member Contact Information Update
Members are asked to complete this form and submit it to the church. The information requested is designed to assist the ministry and church in providing you with information for church-sponsored activities and events.

Please Note: We now have to update members every 1-2 years to keep our records up-to-date. Your mobile and work phone will not be included in the Church Directory but will ONLY be used for emergency purposes such as a church service cancellation. Thank you for your patience. Thank you and God Bless you.
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Email *
1. Name (first and last) *
Gender *
2. Please confirm Email *
3. Address *
Your date of birth *
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Where can you be reached?
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