Update Records (Current Members)

Please use this form to update your membership records with us.

First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
Phone:*
Email:*
Date of Birth:
Spouse's First Name:
Spouse's Last Name:
Chile 1 Name and Age:
Chile 2 Name and Age:
Child 3 Name and Age:
Child 4 Name and Age:
Previous Church Membership:
Previous Church Denomination:
Employer Name:
School/Education:
Special Interests:
Salutation:
Are You a Registered Voter?
Are You A Tither? (A tither is a person who agrees to pledge 10% of hes/her earnings to the work of Christ according to the Scriptures.)
Why do you want to become a member?