Membership Transfer Request  
Apple Creek welcomes you!  We are committed to the development of church growth with Christ, Compassion and Community. 

Please submit this valid information in order to facilitate your transfer of membership and note that the  information provided will be kept CONFIDENTIAL and not shared. 

Contact us at acchurchclerk@gmail.com                               
What is your name? *
First Name - Middle Name - Last Name     (Middle name is optional) 
Additional Family Member's Full Name
First Name - Middle Name - Last Name    (Middle name is optional) 
Your Email *
Your Mailing Address *
Your Phone number *
Information pertaining to the church I am transferring my/our membership FROM:   *
Please provide the name, address and phone number of former church. Conference name is optional but helpful.
Pastor/Clerk's name and email of the former church you are transferring FROM: 
Please provide the name and email of your former Pastor and/or Clerk, if available  
Submit
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