Effingham, S C 29541
(843)
665-7605
I would like to be considered for membership in
NAME ______________________________________________________
ADDRESS ___________________________________________________
CITY, STATE, ZIP _____________________________________________
Phone Numbers: Home ____________________ Cell _________________
Birthday _____________________ Anniversary _____________________
I am employed at ________________________________________________
____ I am a Christian. I accepted Christ as my Savior (year or age) ________
____ I have been Baptized by immersion. ____ I would like to be Baptized
____ I am presently a member at _______________________ _______________________ and would
Like to transfer my membership to
____ I agree to follow the doctrines and policies of
____ I agree to financially support the ministry of Lebanon FWB Church as God has prospered me.
____ I feel I have the following talents that will be of benefit to the ministry of Lebanon FWB Church:
_______________________________________ _______________________________________
_______________________________________ _______________________________________
_______________________________________ _______________________________________
_______________________________________ _______________________________________
SIGNED DATE