| OCR Text |
Show MR. MRS. MISS. MEMBERSHIP CHURCH FOR APPLICATION DATE ZIP CODE RESIDENCE (IF DIFFERENT) ADDRESS MAILING AND NAME ( ) DESIRES ( ) BY LETTER FROM ADDRESS OF ) DEDICATES ( ) REDEDICATES ( ) OTHER FOR CLERK’S DATE LORD. BY ;| STATEMENT ONLY | | | LETTER REC’D CHURCH LIFE TO VOCATION RELATED CHURCH FOR (AREA ew IF KNOWN) CHRIST. DECISION Code 4384-05, ACM-5, Broadman Nashville, Tennessee, Supplies, | Printed in U.S.A. MEMBERSHIP CHURCH APPLICATION FOR MR. MRS. MISS. BROADMAN DATE ZIP Be RESIDENCE MAILING (IF DIFFERENT) ADDRESS BUSINESS NAME ABOVE Pe ZIP ADDRESS CODE MAKES THE FOLLOWING PUBLIC COMMITMENT: ( ) ACCEPTS CHRIST AS PERSONAL SAVIOUR AND LORD. ( ) DESIRES MEMBERSHIP IN THIS CHURCH: BY BAPTISM___; BY STATEMENT; OF CHURCH FOR LIFE ) DEDICATES ( ) REDEDICATES ( ) OTHER FOR CLERK’S USE ONLY DATE BAPTIZED DATE LETTER REC’D ) BY LETTER FROM ADDRESS LIFE TO CHURCH RELATED VOCATION (AREA IF KNOWN) CHRIST. DECISION Code 4384-05, ACM-5, Broadman APPLICATION a Supplies, Nashville, Tennessee, Printed in U.S.A. bi — MEMBERSHIP FOR CHURCH enna DATE MISS. ZIP MAILING BUSINESS |, CODE RESIDENCE YEAR______..__ DAY MONTH OF NEAREST OF KIN OTHER THAN ABOVE ADDRESS zip : COGS aL Lee? MAKES THE FOLLOWING PUBLIC COMMITMENT: ( ( ) ACCEPTS CHRIST AS PERSONAL SAVIOUR AND LORD. ) DESIRES MEMBERSHIP IN THIS CHURCH: BY BAPTISM___; ( ) BY LETTER FROM ADDRESS OF ) DEDICATES ( ) REDEDICATES ( ) OTHER BY STATEMENT | DATE | LETTER REC’D_..... FOR LIFE TO CHURCH RELATED VOCATION (AREA CHRIST. Code 4384-05, IF KNOWN) sceiciatiemmmetamaliieinie DECISION ACM-5, Broadman Supplies, Nashville, Tennessee, ee Sere emenmenne mare FOR CLERK'S Ue OnLy | DATE eiemicanniictiilan 9h CTDi CHURCH LIFE seals PHONE rosie ADDRESS ia eo ereseRramare ZIP CODE ADDRESS AND Rey cece S geeaeEnAPRE (IF DIFFERENT) ADDRESS BIRTHDATE: NAME ZIP CODE DAY MONTH ADDRESS OF NEAREST OF KIN OTHER THAN AND Oe ines ZIP coor: ADDRESS BIRTHDATE: ( USE BAPTIZED DATE LIFE ( NE BAPTISM_——,; BY CHURCH: IN THIS MEMBERSHIP AND SAVIOUR PERSONAL AS CHRIST ) ACCEPTS ‘ie ADDRESS PUBLIC COMMITMENT: MAKES THE FOLLOWING ( YEAR ABOVE OF NEAREST OF KIN OTHER THAN ADDRESS PHONE DAY MONTH BIRTHDATE: CODE ZIP CODE ADDRESS BUSINESS — PHONE ' Printed in U.S.A. DATE: NAME: ADDRESS: PHONE NUMBER: D.O.B. Check one of the following: BAPTISM DATE: LETTER CHRISTIAN EXPERIENCE WATCH-CARE REDEDICATION PRAYER DATE: NAME: ADDRESS: PHONE NUMBER: D.O.B. Check one of the following: BAPTISM LETTER CHRISTIAN EXPERIENCE WATCH-CARE REDEDICATION PRAYER DATE: |
