Diverse People Worshiping
ONE God As ONE
MEMBER FORM
MEMBERSHIP INFORMATION FORM
To Assist us in keeping accurate records, please complete this form and return it to the First Assembly of God church office. Thank you!
First Name
Last Name
Phone# :
Work #:
Ext:
Cell#:
Email Address:
Street Address:
City:
State:
Zip Code:
Employer
Brith date:
Conversion date
Baptism date
Holy Spirit baptism date
Is your spouse in a Life Group
If yes, who is the leader?