Bethany Church Membership Updates

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* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Have you officially joined Bethany Church as a member?

Yes

No

No, Please contact me about becoming a member

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* 3. If you are a member, when did you become a member? (estimate if you dont remember exact date)

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* 4. Are you an ordained deacon?

Yes

No

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* 5. If you are an ordained deacon, where were you ordained?

Bethany Church

Other (please specify)

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* 6. Have you been baptized by immersion?

Yes

No

No, please contact me about baptism

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* 7. If you were baptized, where and when?