Church Membership Form
New member contact form: Please fill out this membership form with your information and someone will reach out to you as soon as possible.
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Email *
Full Name *
Date of Birth *
Address *
Phone Number *
Please identify under what experience are you joining the church today
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Child's name and DOB (ex. Jane Smith 5/1/2019)
If you've been a member at another church please fill in the information below:
Previous church name
Previous church address
Bethel Emanuel Temple COGIC
Bishop Curtis B. Sexton, Pastor
106-23 154th street, Jamaica NY 11433

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