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Victory Membership Application Form
Complete the "Membership Application Form" to officially begin your process to becoming a member at Victory Church!
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Work Phone
Your answer
Mailing / Home Address, City, Postal Code
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Marital Status
*
Single
Engaged
Married
Divorced
Widowed
Wedding Anniversary
MM
/
DD
/
YYYY
Spouse's First and Last Name
Your answer
How long have you attended Victory?
*
Your answer
Employment (Optional)
Company Name
Your answer
Position
Your answer
Walking With the Lord
Are you born again?
*
Yes
No
Have you been water baptized by immersion?
*
Yes
No
Check this option if you've been water baptized but not by immersion.
Have you received the baptism of the Holy Spirit?
*
Yes
No
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