Membership Application - Step 2

Your name *

Last name

Email address *

Birthdate *

Marital status *

Select…SingleMarriedWidowed

Household members

+ Add adult+ Add child

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

MobileHomeWorkOther

Phone number

Phone type

MobileHomeWorkOther

What is your occupation?

Membership Class Date: Enter the date of the class you attended. If you have not attended the class yet, what class date do you plan to attend? *

When did you start attending Living Faith? *

How did you hear about Living Faith? *

Are you presently a member at another church? *

Yes

No

Have you ever been baptized by immersion as a believer? *

Yes

No

How would you describe your personal relationship with Jesus Christ as Lord and Savior? *

Submit

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