Date:

 

   

Personal Information

   
Name*  
Address
Apt #
City
State

Zip

E-mail
Home*  
Work
   
Birth Date   mm/dd/yy 
Occupation
   
Spouse Name
Birth Date   mm/dd/yy 
Occupation
Home
Work
   
   

Current Church Membership

   

Faith Bible Church

Other Local Church
        Name:

Out of Town Church
         Name:
           City:

First Time Guest

Second Time

Regular Attendee
   
How did you hear about our Church?

   

My Decision Today

   
I Prayed to accept Christ as my personal Savior
I'm renewing my commitment to Christ.
I want to be baptized
Enroll me in the next Membership Class.
I would like to talk to a Pastor.
I want to help where needed.
   
I would like information on:
   
How to become a Christian
How to join the Church
Spiritual Growth
Music Activities
Women's Activities
Men's Activities
Teen Activities
Preschool / Elementary Activities
Home Bible Studies
   
Other:
 
   
Prayer Request:
 

 

   *  Required Fields

 


Faith Bible Church, Vineland N.J.
Copyright © 2005 Faith Bible Church. All rights reserved.
Revised: 08/04/07.