Membership Form
We are excited to have you. join Beloved Community. This information will help us greatly!
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Name/s of those desiring to become members
Date of Birth, Place of Birth

Example: Mary Smith, Stevens Point, WI 5/6/77
John Smith, Wisconsin Rapids, 4/5/66
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Today's Date *
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DD
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Email *
Home address *
Telephone Number/s
Baptismal Date and Place of those who are joining Beloved Community.
Example:
Mary Smith, St. Stephen's (RC) 8/6/77
John Smith, ELCA Lutheran, 1968

 *
Wedding Anniversary (if applicable)
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DD
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Are you transferring your membership from another church (or churches)? If so, please list church name and address.
Would you like to find out more about baptism?
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Can we share you address, phone and email in our directory? *
Would you like to receive our weekly email newsletter *
Anything else you would like us to know or you would like to know from us?
Welcome to the Beloved Community---grounded in the Episcopal and ELCA Lutheran traditions! We are excited to get to know. you!
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