We are so excited that you are interested in becoming a member here! Please fill out the information below as thoroughly as you can to aid us in helping you get situated here. Name * First Name Last Name Phone (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country If you have anyone else in your family who will be joining you, what are their names? Do you believe that Jesus Christ is the Son of God? * Yes No Have you been immersed for the forgiveness of your sins? * Yes No Are you married? * Yes No Only answer the following questions if they apply to you; Is this yours and your spouses first marriage? Yes No If your answer to the previous question was no, please explain in as much detail as possible what occurred in yours or your spouses prior marriage. If there is any further information you would like us to know about yourself, please let us know below. Thank you!
