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Grace Pointe Community - Membership Request
Grace Pointe Community Church of the Nazarene
61 Gambrills Rd
Severn, MD 21144
Member Information
Who are you? Please give us the names and ages of those interested in membership
First Name
*
Last Name
*
Age:
*
Under 13
13 - 18
18 - 22
22 - 30
31 - 40
41 - 50
50 +
First Name
Last Name
Age:
Under 13
13 - 18
18 - 22
22 - 30
31 - 40
41 - 50
50 +
First Name
Last Name
Age:
Under 13
13 - 18
18 - 22
22 - 30
31 - 40
41 - 50
50 +
First Name
Last Name
Age:
Under 13
13 - 18
18 - 22
22 - 30
31 - 40
41 - 50
50 +
Please let us know how to contact you:
Address 1
*
Address 2
City
*
State
*
Postal Code
*
Home Phone
*
Cell Phone
*
Email Address
*
What is the best way for us to contact you?
*
Email
Cell Phone
Home Phone
Letter
Home Visit
Church membership history
Are you currently a member at another church?
*
Yes
No
Is so, what is the name of the church?
Church address:
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