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Video

SERVICE

FMBC MEMBERSHIP AND DECISION RECORD

Date

Month

Day

Year

Choose One

Mr.

Mrs.

Ms.

Miss.

First name

Last name

Address

Mailing Address (If Different)

Email

Home Phone

Cell Phone

Work

Occupation

Birthday

Month

Day

Year

Name of Emergency Contact

Address of Name Emergency Contact

Names of family members/Relatives or Guardian in First Baptist Church (Identify relationship).

DESIRES MEMBERSHIP IN THIS CHURCH:

By Baptism

By Letter

By Restoration

By Invitation

By Recommendation

By Internet

By Media

By FMBC Outreach/Witnessing Teams

As An Associate Member

By Christian Experience

Other

Name and address of previous church (if applicable)

Why did you choose FMBC?

DO WE HAVE YOUR PERMISSION TO HAVE YOUR NAME AND PICTURE ON THE CHURCH WEBSITE?

Yes

No

Signature*

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