Membership Information
To transfer your membership, or update your contact information, please complete this form.
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Type of Information *
Name (First, Last) *
Address *
City *
State *
Zip Code *
Cell Phone number
Home Phone Number ( land line )
Email *
Phone Call
Text Message
Other (please explain in comments below)
Contact Preferences
Church You Are Transferring Membership From:  
(Please include address if you have it)
List other family members also requesting Transfer from the same church  Please list:  
Name and Birthdate (mm/dd/yyyy ) for each:
List other family members NOT requesting Transfer from the same church
(include children, birth dates (mm/dd/yyyy), and whether or not baptized) for each:
Other Questions or Comments You May Have:
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This form was created inside of Calimesa SDA Church. Report Abuse