Trinity Baptist Church Membership Register

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Trinity Baptist Church Membership Register (12-2017) 2521 Richland Street, Columbia, South Carolina 29204

Please select one *

Full Name *

Today's Date *

YYYY

Residential Address *

City *

State *

Zip Code *

Mobile Telephone *

Date of Birth *

YYYY

Are you head of the household? *

Yes

Are you a Veteran? *

Yes

Are you married? *

Occupation

Email Address *

Names of family members at Trinity (if applicable)

Name of nearest relative *

Relative Telephone *

Do you know any members at Trinity? *

Yes

How did you hear about Trinity? *

Please Check one of the following: *

Accepts Christ as Personal Savior and Lord

Watchcare

Rededicates Life to Christ

If you selected option# 1 in the previous question, please select desired membership.

By Baptism

By Statement

By Letter from

Clear selection

If you are desiring membership by letter, please provide Pastor Name and Address of Church.

Additional Comments:

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