Membership Information Form
Family Member #1
Name (1)
Title
First
Middle
Last
Suffix
Address (1)
Street Address
Address Line 2
City
State / Province
Postal / Zip Code
Canada
United Kingdom
United States
Country
Email Address (1)
Home Phone (1)
Work Phone (1)
Occupation (1)
Employer (1)
Birth Date (1)
Birth City, State (1)
Confirmed (1)
Yes
No
Baptized (1)
No
Yes
Confirmation Date, Church, City & State (if known) (1)
Baptism Date, Church, City & State (if known) (1)
Marital Status: (1)
Single
Married
Divorced
Desire to join Trinity? (1)
Yes
No
Family Member #2
Name (2)
Title
First
Middle
Last
Suffix
Nickname (2)
Address (2)
Street Address
Address Line 2
City
State / Province
Postal / Zip Code
Canada
United Kingdom
United States
Country
Email Address (2)
Home Phone (2)
Work Phone (2)
Occupation (2)
Employer (2)
Birth Date (2)
Birth City, State (2)
Confirmed (2)
Yes
No
Baptized (2)
Yes
No
Confirmation Date, Church, City & State (if known) (2)
Baptism Date, Church, City & State (if known) (2)
Marital Status (2)
Single
Married
Divorced
Desire to join Trinity? (2)
Yes
No
Family Member #3
Name (3)
Title
First
Middle
Last
Suffix
Nickname (3)
Birth Date (3)
Birth City, State (3)
Confirmed (3)
Yes
No
Baptized (3)
Yes
No
Confirmation Date, Church, City & State (if known) (3)
Baptism Date, Church, City & State (if known) (3)
Desire to join Trinity? (3)
Yes
No
Family Member #4
Name (4)
Title
First
Middle
Last
Suffix
Nickname (4)
Birth Date (3)
Birth City, State (4)
Confirmed (4)
Yes
No
Baptized (4)
Yes
No
Confirmation Date, Church, City & State (if known) (4)
Baptism Date, Church, City & State (if known) (4)
Desire to join Trinity? (4)
Yes
No
Family Member #5
Name (5)
Title
First
Middle
Last
Suffix
Nickname (5)
Birth Date (5)
Birth City, State (5)
Confirmed (5)
Yes
No
Baptized (5)
Yes
No
Confirmation Date, Church, City & State (if known) (5)
Baptism Date, Church, City & State (if known) (5)
Desire to join Trinity? (5)
Yes
No
Family Member #6
Name (6)
Title
First
Middle
Last
Suffix
Nickname (6)
Birth Date (6)
Birth City, State (6)
Confirmed (6)
Yes
No
Baptized (6)
Yes
No
Confirmation Date, City, State (if known) (6)
Baptism Date, City, State (if known) (6)
Desire to join Trinity? (6)
Yes
No
Do you want us to send for a transfer from a previous church?
Yes
No
Please enter the family members names to request a transfer for:
Please enter the church name, address, city, state to request a transfer from:
Total:
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