Member Registration

Welcome!! Kindly Fill the Form Below

Surname:

First Name:

Sex:

Marital Status:

Birthday (Day & Month):

Wedding Anniversary:

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Landmark:

Can We Pay You A Visit?

If Yes, Where?

Please, Provide Address if different from Above:

How do you Prefer we Reach You:

Have u been Baptized by Immersion?

If Yes, When:

If No, Would you like to be baptized in the next few weeks?

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