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Membership Transfer Request Form
"For just as each of us has one body with many members, and these members do not all have the same function, so in Christ we, though many, form one body, and each member belongs to all the others." Romans 12:4-5 NIV

Please complete this form for each member who is transferring to the Ephesus SDA Church.
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Your Name (first, middle, last, and suffix if applicable) *
Name as recorded in church membership (if different from above)
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Marital Status *
Current Address (street address, city, state, ZIP) *
Address as recorded in church membership if different from above (street address, city, state, ZIP) *
Phone Number *
This is my: *
Email Address
First and last names of any immediate family members who have not been baptized and their relationship [e.g., Jane Doe (daughter)]
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