Preparing a Demo

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MEMBERSHIP FORM

1. Membership Type: *

Structure Member

Non-Structure Member

Inactive Member

2. Title:

Mr

Mrs

2. Title: *

Mr

Mrs

Miss

Other:

3. First Name:

4. Surname:

5. Birth Date (Example: January 7, 2019):

6. Occupation:

7. Company:

8. Home Address Line 1:

9. Address Line 2:

CONTACT DETAILS

10. Home Tel:

11. Cell:

12. Email:

13. Would you like to receive church event updates via SMS?

Yes

No

MARITIAL STATUS

14. Maritial Status

Married

Single

Divorced

Widow/er

CHILDREN: (Minors who are residing and are joining CRC with you)

15. Do you have children?

Yes (Skip to question 16)

No (Skip to question 24)

Details of Children

16. Child 1 Name & Surname:

17. Child 1 Birth date (Example: January 7, 2019)

18. Child 2 Name & Surname:

19. Child 2 Birth Date (Example January 7, 2019):

20. Child 3 Name & Surname:

21. Child 3 Birth Date (Example: January 7, 2019):

22. Child 4 Name & Surname:

23. Child 4 Birth Date (Example: January 7, 2019):

HOMECELL

24. Are you in a Homecell?

Yes (Skip to question 25)

No (Skip to question 26)

ALREADY IN HOMECELL

25. What is your Homecell Leader’s name? *

NOT IN HOMECELL

26. Would you like to join a homecell? *

Yes

No

BAPTISM

27. Have you been baptised as an adult?

Yes (Skip to question 29)

No (Skip to question 28)

NOT BAPTISED

28. Would you like to get baptised?

Yes

No

Holy Spirit

29. Do you pray in tongues?

Yes

No (Skip to question 30)

Signature *common.clear

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