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* 1. What is your full name and mailing address?

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* 2. Please provide your home phone and cell phone numbers

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* 3. What is your Email address?

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* 4. Enter your date of birth

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* 5. Have you been baptised?  If so please provide date, if known.

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* 6. Have you been confirmed?  If so, please provide date, if known.

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* 7. If you are married, please provide the date of your marriage

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* 8. Are you a member of this church?  If so, do you know the date you joined?

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* 9. What is your occupation and place of employment?

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* 10. If married, spouse's full name

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