Membership Information Form:

Today's Date: *
Your Full Name: *
Your Birthday *
Your Occupation: *
Employer: *
Your Phone#: *
Email Address: *
Date of Your Baptism: *
Your Interests and Hobbies: *
Spouse's Full Name:
Spouse's Birthday
Spouse's Occupation:
Spouse's Employer
Spouse's Phone:
Spouse's E-mail:
Date of Spouse's Baptism:
Spouse's Interests and Hobbies:
Home Address: *
City:
State: *
Zip Code: *
Home Phone #: *
Wedding Anniversary:
Sunday School Class Attending:
You are Joining By:
 Profession of Faith
 Transfer from a Sister Denomination
 Transfer from a Sister United Methodist Church
Name of Church Where Your Membership Is Now:
Street Address:
City, State, Zip:
Church's Phone #:
Your Spouse is Joining By:
 Profession of Faith
 Transfer from a Sister Denomination
 Transfer from a Sister United Methodist Church
Name of Church Where Your Spouse's Membership is Now:
Street Address:
City, State, Zip:
Church's Phone #:
Sunday You Plan to Join:
Person Providing Information:
Please type the letters and numbers shown in the image.
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