NDEC Membership Application
*NDEC does not believe in Dual Membership
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Full Name *
Mailing Address *
Home Phone Number *
Cell Phone Number (Optional)
E-Mail Address *
Date of Birth *
MM
/
DD
/
YYYY
Marital Status *
Gender *
Did you attend a previous church? *
Name of previous church?
Are you still a member?
Clear selection
What is the pastor's name?
Why did you leave?
Did you serve in any capacity?
Clear selection
What capacity did you serve?
Do you wish to serve in a ministry at NDEC? *
Which Ministry?
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