Membership Request

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Become a member of our church

Note: If you have family members who also want to be a member, they also need to fill out this form.

 

By Baptism
By profession of faith
By transfer from another Adventist church

First

Last
 
Male
Female

mm/dd/yyyy

Address 1

Address 2

City

State


Postal Code

Country
 
Single
Married
Widowed
Divorced

 

Please request my transfer from:


Address 1

Address 2

City

State


Postal Code

Country
 

Calendar

Sabbath Time

Sunset

Place: Rocklin, CA

Start: 07:22 PM 03/26/2010

End: 07:23 PM 03/27/2010