:

Contact:
Address:
City, State, Zip
phone number:
E-mail Address:
Church Name
Address:
City, State, Zip
phone number:
Denomination:
Average Weekly Worship Attendance

 

 

 

 

Print and mail this page with the signed membership agreement to: 

 Mailing Information

_________________________________

Address _________________________________

Phone ___________________________________

E-Mail ___________________________________
(E-mail address is required)

 

Church Information

Church Name ____________________________

Street __________________________________

City, State, Zip ___________________________

Phone/Fax ______________________________

Denomination ____________________________

Membership Information

AWWA___________________________________
(Average Weekly Worship Attendance)

Expectations (Pre-Natal) __________________

Birth-12 Months __________________________

12-24 Months ____________________________

24-36 Months ____________________________