MEMBERSHIP CLASSES REGISTRATION FORM.
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First Name*


Last Name*

Email*

Street Address*

City*   State*   Zip *

Mobile Phone*   Home Phone:

Birthday*    Gender*  Marital Status*

Spouse's Full Name (if married)

Your Spiritual Walk.


Have you accepted Jesus Christ as your personal Savior?*.

If yes, tell us a little bit about when and how you came to faith in Jesus Christ.

Have you ever been baptized?*.

If yes, tell us a little bit about when and where you were baptized.

Are you a member of another church?*.
YesNo

If so, please indicate which church.

How long have you been visiting The Upper Room Of Prayer?*.

What services do you normally attend?*.

Your email address will not be published. Required fields are marked *

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