New Member Information Form
St. Paul’s Episcopal Church
P.O. Box 1190, 224 N. East Ave., Fayetteville, AR 72701
(479) 442-7373 Fax: (479) 442-7375

We would love to have each family member, no matter how young or how old, complete an information form. All personal data will be kept confidential. You may mail or bring the form to the Parish Office or place in the alms basin on Sunday.

Email address
Today's Date
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Full Name (include previous last names)
Your answer
What do you prefer to be called?
Your answer
Street Address
Your answer
City, State, Zip Code
Your answer
Cell Phone
Your answer
Home Phone
Your answer
Occupation
Your answer
Work Phone (optional)
Your answer
Gender
Date of Birth
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Place of Birth
Your answer
Date, Church, and Place of Baptism (If you don't have the exact date or other information please tell us what you know)
Your answer
Date, Church, and City of Confirmation (If you don't have the exact date or other information please tell us what you know)
Your answer
Marital Status
Wedding Anniversary
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If you are Episcopalian, would you like your membership transferred to St. Paul's?
If you would like your membership transferred, please give the name of church, city, and state of your most recent membership.
Your answer
If non-Episcopalian, would you like to join?
For each additional household member, please give full names, preferred names, gender, date of birth, and their relationship to you. We would also like a form completed for each member of the family.
Your answer
Which St. Paul's groups would you like to receive email updates from?
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