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Membership Application

Personal Information

Full Name
Address
Home Phone
Mobil Phone
Email

Background: (2 Cor. 13:5)

How long have you known the Lord Jesus Christ?
How long have you been affiliated with your church or assembly?

Gifting: (Romans 12:4-8)

 Service
 Teaching
 Encouragement
 Giving
 Administration
 Leadership

Church or Assembly Information:

Name
Pastor's Name
Phone

Enter the verifcation code in the image.   

  

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