Antioch Baptist Church North
Membership Update Form
Email address *
Today's date *
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First Name *
Your answer
Middle Name *
(if Applicable)
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Best Contact Phone Number *
I authorize Antioch Baptist Church North to send me updates and information via text and email.
Are you a member? *
Member Number (if known)
Your answer
Month of birth
Day of birth
What ministries/auxiliaries are you a member of?
Your answer
What ministries/auxiliaries would you like more information about?
Your answer
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