Church Membership
Please fill out this form and click submit.
Name
*
Birthday
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
*“Call Them All”: To receive prayer needs or important announcements from our pastor through automated phone calls, please check the box “Call Them All”. **Texts: To receive texts, such as serving reminders or important church updates, please check the box “Texts”.
Please select all that apply.
Call Them All
Texts
Email
*
This address will receive a confirmation email
Joined by
*
Please select all that apply.
Baptism
Transfer Letter
Profession of Faith
If transfer by Church Letter, Name and Address of Church:
Spouse Name
Spouse Birthday
Wedding anniversary
Spouse Phone
*“Call Them All”: To receive prayer needs or important announcements from our pastor through automated phone calls, please check the box “Call Them All”. **Texts: To receive texts, such as serving reminders or important church updates, please check the box “Texts”.
Please select all that apply.
Call Them All
Texts
Spouse Email
Joined by
Please select all that apply.
Baptism
Transfer Letter
Profession of Faith
If transfer by Church letter, Name and Address of Church:
Children Attending (list last name if different the household)
Name and Birthday
Name and Birthday
Name and Birthday
Name and Birthday
Additional Information:
If you have served in the military, have prayer needs, or have an area you are interested in serving here at church, please feel free to share here:
If you would like to share a photograph for us to include on a "Welcome" slide, please email a copy to admin@nhbcmineola.com
Submit
Description
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