Virtual/Online New Members 
Welcome to the Heights!
Please complete the following information for membership records.
Someone from our staff will contact you with the "Zoom Virtual Member Class" information within 48 hrs. 
*All information will be kept confidential
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Date Joined
What platform did you watch our services on?
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Uniting By
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Last Name
First Name
Date of Birth
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Marital Status
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Mailing Address
Home Phone Number
Cell phone Number 
Work Phone Number
Check preferred method of contact:
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What is the best time to make contact?
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Email address *
Spouses Name
Is spouse a member of this church?
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Work Phone
Previous Church
Emergency Contact Name 
Emergency Contact Number:
If under 18 years of age please provide Parents Names:
Are they members of this church?
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Have you been baptized?
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Do you desire to travel to Lincoln Heights Missionary Baptist Church on the 4th Sunday to be baptized?
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