MEMBERSHIP STATUS FORM

* Indicates required field.


First

Last
 

dd/mm/yyyy


Address 1

Address 2

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dd/mm/yyyy
I am a MEMBER of this Church.
I am a VISITOR (Not baptized).
I am a VISITOR (My membership is at another Seventh-day Adventist Church).
I wish to be Baptized.
I wish to have my membership transferred...(If you choose this option, write the name of the church in the text boxes below.