Membership Information for Alpha Church

Please Complete The Form Below-- Then Click The Submit Button

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Your contact information:

Name:
Address:
Address (cont.):
City & State & Zip Code/Country Code:
Country:
Email address (required): -- (please use your main personal email address; not hotmail, gmail, nor yahoo)


Baptism

Have you been baptized?
Yes If yes, please tell us when and where:
No If not, would you like to be baptized online at Alpha Church? Yes No


Membership

Would you like to become a member of Alpha Church?
  If you have been baptized, you can become a member of Alpha Church.
  And yes, you can become a member of Alpha Church and still hold membership in your hometown church.

Yes No

Will you affirm your beliefs:
Yes No

Will you support Alpha Church with:
Yes No

If you have checked "Yes" for the three membership boxes above your church membership certificate will be mailed to you by snail mail.

Free Bible:

In celebration of your new membership in Alpha Church we would like to give you a Bible. Would you like for us to send you a free New Testament? Yes No

Prayer Requests:

Do you have anything you would like us to pray about with you?

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