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CHURCH MEMBERSHIP FORM

Title

First name

Phone

Middle name

Email

Last name

Date of birth * required

Street Address

City

Region

Zip code

Marital Status

Single

Married

Separated

Widowed

Remarried

Children

Yes

No

Have you been water baptised

Yes

No

Immersion

Sprinkling

Were you a member of your previous Church?

Yes

No

I Confirm that to the best of my knowledge the above is true. I understand that signing up with this form and not attending a membership class and receiving written confirmation does not constitute formal membership.

Thanks for signing up. Someone will be in touch soon.

hello@theinfluencerschurch.org

The Naz Community Hall

Salford M7 1ZQ

The Influencers Church is a company limited by guarantee No.10554199 and a registered charity No.1180456

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CHURCH MEMBERSHIP FORM​

CHURCH MEMBERSHIP FORM