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Annual Membership Application

Membership to our church is available for individuals or families. Either way, we are happy to have you join us.

Membership Type(Required)

Join our church as an individual member or your family can join as a whole. (Family Member info on next page.)

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Card Details

Cardholder Name

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Family Members

Give us a little info about your family members so we know who's joining us.

Name

Name

First Last

Relationship

Relationship

Birthday

MM slash DD slash YYYY

Name

Name

First Last

Relationship

Relationship

Birthday

MM slash DD slash YYYY

Name

Name

First Last

Relationship

Relationship

Birthday

MM slash DD slash YYYY

Name

Name

First Last

Relationship

Relationship

Birthday

MM slash DD slash YYYY

Name

Name

First Last

Relationship

Relationship

Birthday

MM slash DD slash YYYY

Name

Name

First Last

Relationship

Relationship

Birthday

MM slash DD slash YYYY

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