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Southern Asian Seventh-day Adventist Church
Church Member Information Form
Dear Church Member,
Please take time to complete the member information form in its entirety.
For questions and assistance, please contact: Church Office - 301-879-7222.
* Indicates required question
General Information
Member Name
*
Your answer
Household Mailing Address (City, State, Zip Code)
*
Your answer
Household Phone Number
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Email
*
Your answer
Cell Phone
*
Your answer
Family Information
Spouse Name
Your answer
Marriage Date
MM
/
DD
/
YYYY
Names of Children
1. Full Name, Birthdate, School Grade, and Cell Phone
Your answer
2. Full Name,
Birthdate,
School Grade, and
Cell Phone
Your answer
3. Full Name,
Birthdate,
School Grade, and
Cell Phone
Your answer
4. Full Name,
Birthdate,
School Grade, and
Cell Phone
Your answer
Submit
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