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* 1. Contact Information

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* 2. Have you officially joined Bethany Church as 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?

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

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* 6. Have you been baptized by immersion? 

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

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