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Membership Form

Become A Member

Birthday
Marital Status
Single
Married
Divorced
Separated
Children
Yes (Give name and birthday, If they attend church with you and under the age of 18)
No

PREVIOUS CHURCH DETAILS

(Please give name and address of previous church, if applicable, for reference purposes)

Were you a member of your previous church?
Yes
No

BAPTISM INFORMATION

Have You Been Water Baptised?
Yes
No

I confirm that to the best of my knowledge the above information is true. I understand that completion of this form without attending a membership class and receiving written confirmation does not constitute formal membership.

Date

CHURCH ADDRESS

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2629 Tunnel Blvd.
Chattanooga, TN 3
7406

Tel: 423-629-2875

Fax: 423-468-3507

Email: office@newunited.org

 

www.newunited.org

CONTACT US
 

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