Ze AI be / New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 \ Name: a, f D First Current Address: __ LD Street Spouse name (if applicable): Name, R Membership Information ew —_—— \S MI je JOWNLD Last YOGIC TOCSEN __ OWL AT City First > Phone: - ji/ 214 a R4USL State Zip uf aS 188 (Listed/Unlisted) , Date of Birth: ij (5 UC of LO Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male ( ) Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord ( A Desires Membership in this Church by: Baptism Baby Dedication ( VW (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism i/ Member # Date Joined: ( re LO fo )WatchCare (_) Dedicates life church related vocation Clerk’s Use Only Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if appl Ae Clerk Signature: -£) j Date entered into records: J l Bt) A (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information | en 35 lan “First , C Pa Current Address: MALY Street Spouse name (if applicable): : YE o OS. cv Phone Last +E ( if City First KiHU Vale | FGLO Stafe MI . Zip Ute C [ 6,037 5571 istea/ Unlisted) po S_ Date of Birthd ( 73 _ oo Wedding Anniversary (Mo/Day): Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male ( ) Female fae Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by: Baby Dedication Baptism ( ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: / / (3/, RO) Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: __¢ f\ TF Ru At [lA iA ; Date entered into records: f y 4 | | Ke (NZBC UT/March 2009) 1K, New Zion Baptist Church he 2935 Lincoln « Ogden, Utah 84401 Membership Information Dido heme First Current Address: 5 oy S13 Street Spouse name (if applicable): E. Mo —c Glo DS. First C. ack A Name, address & phone # of nearest relative Last . —_ Phone: <0) - 645 Le Yuen Aonette Aacken aa _ ‘ A Linc) Email address (to inform you of activities/events/meetings): [Non-published upon member request] ? BYUOS Cut (Urey MI | - Zip 8 OO |- Cia rAgir la) Ye ©) i Date of Birth: Be ne | oO A / it) (O a 7 | [x ~O | aol (OM male ( ) Sy Female MX) Makes the following public commitment: Accepts Christ as personal Savior and Lord \? Desires Membership in this Church by: Baby Dedication . Baptism (\ ) (_ ) child’s name: Christian Experience (_ ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism | Date Joined: Member # Sn ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only oS D |A Date Baptized: Age: “//) AY 13 333 Family Ministry Deacon/Deaconess: Other Notes (if “PPM able): Clerk Signature: li“ NS “7eerie Date entered into records: J 04-011 950: O Wedding Anniversary (Mo/Day): ____ Merris (Listed/Unlisted) 4 Iw i/. 24; / 14 Tod (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln <« Ogden, Utah 84401 | / Name: “ Membership Information “— _¢x>!’ —e ’ e 4 (3 ) First Last Current Address: Street Phone: City Spouse name (if applicable): Name, \ First State 302 Zip S“Y QS© (Listed/Unlisted) Date of Birth: Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Makes the following public commitment: ) Female (_) J Accepts Christ as personal Savior and Lord ( Desires Membership Male (_ in this Church by Baptism ( | Baby Dedication ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism X ) Watch Care (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined:=\h y) DD | IF Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if ee Clerk Signature: PX JO In \" \) p Zz yy Date entered into Records: YAt | / A) (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information V 0g. ame First Current Address; D7S _¢.) Street S77 Spouse name (if applicable): Name, Last MI — Zip State City (Listed/Unlisted) Phone: \2ol - SbhY4-7svG Vrexe M20. eae Ry Date of Birth: Wedding Anniversary (Mo/Day): MI First address & phone # of nearest relative Male ( Email address (to inform you of activities/events/meetings): [Non-published upon member request] Baby Dedication Accepts Christ as personal Savior and Lord ( in this Church by Baptism Female(_) ; Makes the following public commitment: — Desires Membership ) (_ ) ) child’s name: (_ Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism (Yd) Watch Care (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Family Ministry Deacon/Deaconess: Other Notes (if applig@ble): Clerk Signature: De J () lp IS | } A, Age: Date Baptized: | t) | Ps j Date entered into Records: Vig f 3 if. [3 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Zeresne Name: DZenDPre First ~ LY = MI — Information LMG Last esrone | Mi- City State Zip Spouse name (if applicable): First @ ZO) |b b Sark Current Address: Street VILE OG¥- Date of Birth: Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male ( ) Female( ) Makes the following public commitment: | ) Accepts Christ as personal Savior and Lord ( Desires Membership in this Church by: Baptism ( J Baby Dedication ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism (\4) Watch Care ( ) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Io0| D Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if Ae Clerk Signature FO J () ) \ rp L _/ | Date entered into records: TAUB (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 / | Membership Information Se Name: Bella First Current Address: Street Spouse name (if applicable): Name, Last City First Phone: ey PL State Co -G 2S Zip (Listed/Unlisted) C°X23_ Date of Birth: Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Male ( Email address (to inform you of activities/events/meetings): [Non-published upon member request] Makes the following public commitment: Female(_ ) | Accepts Christ as personal Savior and Lord ( Desires Membership ) ) Baby Dedication in this Church by Baptism (_ ) ) child’s name: (_ Christian Experience (_ ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism (/) Watch Care (_) Dedicates life church related vocation For Clerk’s Use Only Date Joined: Member # !] HD), |2 Age: Date Baptized: Family Ministry Deacon/ ae. Rol Other Notes (if Clerk Signature: ee Aol f 1) [YS i Date entered into Records: i / 4/ 1/3 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 / Membership Information Name: NAO? First Current Address: | | YO ( LE Yo SLFEEt c Mi Last | CAH VU L Gity First Phone: 54 ] -SM-0456& __ (Listed/Unlisted) | OW) ow XY Spouse name (if applicable): ‘ State Forde 92 " bha.lol77 . Email address (to inform you of activities/events/meetings): tp [Non-published upon member request] 7 Makes the following public commitment: Ae —| 2.0, | Date of Birth: Zip Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative A : bp em Male (~~) CUoh 1}Z/ lo] kD Female(_) a Accepts Christ as personal Savior and Lord (~~) Desires Membership in this Church by Baptism (tJ Baby Dedication ) child’s name: (_ Christian Experience (_ ) Letter from Church (_ ) Date Rec'd: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism Date Joined: Member # Family Ministry Deacon/Deaconess: Other Notes (if appt Clerk Signature: '/20 ( )WatchCare (_) Dedicates life church related vocation__ For Clerk’s Use Only A f 4 Me j | Age: Date Baptized: 4 Date entered into Records: i] A i} 2 f (NZBC UT/March 2009) f. \V UL £ _ Ie ber fii we’yp = . 4 New Zion Baptist Church ; { f VV iF wv. Pe 6 J Cry, O44 PUKLILIS 2935 Lincoln <« Ogden, Utah 84401 a 7 Membership Information t Current Address: Street — a f Last MI First “CLA Spouse name (if applicable): Mt Of tf é2 N First Name, address & phone # of nearest relative _\ ) 4s Wedding Anniversary (Mo/Day): Ai LLAGMALO MI CI cf é ' Date of Birth: Zip State City, on * Male ( Email address (to inform you of activities/events/meetings): [Non-published upon member request] Female we ) Makes the following public commitment: , Accepts Christ as personal Savior and Lord ( VW Desires Membership in this Church by: Baptism (J) Baby Dedication (__) child’s name: ) Christian Experience (_ Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism | Date Joined: Member # Hop ( (_) Dedicates life church related vocation )WatchCare For Clerk’s Use Only Family Ministry Deacon/Deaconess: Other Notes (if Clerk Signature: a MLN LV, gy a Ot | sth Age: Date Baptized: [3 \Y\ Pole. = , (INAM LL f Sian f 4 tf ‘ fi | ' Date entered into records: i Y2 | if /2 (NZBC UT/March 2009) e . er. aN, +, Re ; New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 R Name: ( »({ a, oO Lox First. wl Current Address: . Tau Membership Information © Lyuid MI Jah‘Street Coepv Spouse name (if applicable): / ) Slo Phone: Last Ur, Claasdbield Cetdor City First State LZ Zip — 3/X- : qh OS (Listed/Unlisted) aq? 23/7% Date of Birth: Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Male (A Email address (to inform you of activities/events/meetings): [Non-published upon member request] Female ( Makes the following public commitment: Accepts Christ as personal Savior and Lord (% Desires Membership in this Church by: by Dedication (_ ) child’s name: Baptism ( SN th hristian Experience (_ ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Date Joined: Member # 4/10 0, | Jo / 2 Date Baptized: lad 3)Lyy/) 3 Family Ministry Deacon/Deaconess: Other Notes (if PrP Clerk Signature: i‘ 7 a, Date entered into records: L6/n/, fe 77 (NZBC UT/March 2009) ap New Zion Baptist Church ‘> / \ Name: K ch io First Current Address: UR ( \ R : Co ‘ a ri \wPy Street Spouse name (if applicable): 2935 Lincoln «6 Ogden, Utah 84401 MI nt Membership Information 7\, if) | ANE o~\: \ ¥ - LEK , {\- Phone: Last — . aa, City First (Listed/ Unlisted) State } Date of Birth: Zip .- Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male (\/ 7 Female (_) Makes the following public commitment: Accepts Christ as personal Savior and Lord Desires Membership in this Church by: / Baby Dedication Baptism Name & Address of Church: __ | ( /) (v) (_ ) child’s name: Christian Experience ( ) Letter from Church 4k <a ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_ ) Date Rec’d: ( (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Yj 2013 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applipx Clerk Signature: Date entered into records: / O/- Hl 4 (NZBC UT/March 2009) F J New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 | Membership Information re pho First Fak Ruclha Phone: Last Current Address: 51D fu Street S71 Spouse name (if applicable): 3 Sou Og du-— UT City First | Pa | CY Yo Y State JElK ave ik Zip SC L a IWS (0 (Listed/ Unlisted) Date of Birth: c W/5/ sé ‘ Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male ( ) Female( ) Makes the following public commitment: Accepts Christ as personal Savior and Lord ( oT Desires Membership in this Church by Baptism Baby Dedication (\/) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: a | 0) 20 [A Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if oe Clerk Signature: . fg Date entered into Records: / b] MY, JS (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln <« Ogden, Utah 84401 Th ssnoportillcyas J sone Membership Information atonal First Current Address: Vo ) 5 Ss \N, ny Street Spouse name (if applicable): 4 Email | LA, tion SHO pK N\cso’ | ON 0 “ @ | S AgY* City IS f fi First y Name, address & phone # of nearest relative Cry - 0D Y Vou (2 3 4b- Vv Cs o VAI Var (2 — Baptism MQ Y4C © /Date of Birth: \O [27 ok 145 Zip _ Savan wk Jib Baby Dedication o\MNEO \ 0 not valid) amas Makes the following public commitment: in this Church by: al 7 — Oo ge (Listed/ Unlisted) 65 NW C J é\ I Us | bt 0267 (to inform you of activities/events/meetings): Accepts Christ as personal Savior and Lord i _ Wedding Anniversary (Mo/Day): i [Non-published upon member request] Desires Membership WE ‘State | . \) *KFOlL- Phone: AC\ (_ Yuhee o. Male( ) Com Female 0) ) child’s name: Christian Experience (_ ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Yi ? VPN Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if Peet Clerk Signature: f Date entered into records: L WA) 3 (NZBC UT/March 2009) | b New Zion Baptist Church 2935 Lincoln <« Ogden, Utah 84401 ) Membership Information Name: R Wa, fi First Current Address: Jol Street Spouse name (if applicable): Name, EG MI (et Last a Pp 2 rN CC City Phone: 30) [- —~O2/fListed/ Unlisted) — Date of BirthQZ State First LT 2 Zip Wedding Anniversary (Mo/Day): MI 22L/2 LEG address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] kL k C-lrooask - bv G (Na / ; sLcedMfalex ih Female (_ ) Makes the following public commitment: ral Accepts Christ as personal Savior and Lord ( Desires Membership *) in this Church by Baptism (_ Baby Dedication /( ) eee d's name: Christian Experience (/’) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 2] Ke | HO iB Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information Name: () MCA ~ First Current Address: lure oY | ND e\ VAWMCY (iu MI | Street Spouse name (if applicable): icon \ Phone: Last a Caden lan wv City First State Sl L4do Zip Le0 ( * : iy © Date of Birth: 51 vA ” \S Wedding Anniversary (Mo/Day): MI ntsted Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male ( [Non-published upon member request] ) Female( ) Makes the following public commitment: Accepts Christ as personal Savior and Lord ( 7a Desires Membership in this Church by: Baptism (4 Baby Dedication (_ ) child’s name: Christian Experience (;/) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: aI 7 [-od [ 3 Date Baptized: Ee W) 3 Age:Ca Family Ministry Deacon/Deaconess: Other Notes (if ari Clerk Signature: la): ~ pa —— _, — Date entered into records: _/ b| 4), [2 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information Name: SALINA Teens Current Address: \A, UT VAD Sree JOO Spouse name (if applicable): Name, EK ast First S (| xby- 1 Oy) \)4 City First phone: 999 pAb State A 5% (Listed/ Unlisted) Date of Birth: | nieitien Anniversary (Mo/Day): MI address & phone # of nearest relative B 34) / Email address (to inform you of activities/events/meetings) [Non-published upon member request] <7 2S lev (¢ { HM Male (_ ) Femald// ) Makes the following public commitment: Accepts Christ as personal Savior and Lord f Desires Membership in this Church by Baptism (_ Baby Dedication ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare /(_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 7 2| 3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln <« Ogden, Utah 84401 Membership Information — Name: Keanks9, Yoni ese First Current Address: \7>\>-2 Street Spouse name (if applicable): Name, Calis MI (Q\7S Last S SO. Phone: . Ooadony City First cr e2. dan se State | Ao\ @4S GUUYS | vb t& (Listed/Unlisted) Date of Birth: “Zip \2-20 mh Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male (J) Female (_) Makes the following public commitment: Accepts Christ as personal Savior and Lord Desires Membership in this Church by: ae Baptism Baby Dedication Va (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 4} £3) |S Date Baptized: “y/ of, 13 joe Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 A \ / \ | Name: Ken First Current Address: \ Vi bl eC’ meme Information Jakacie CUS, MI 2% Street ag Phone: Last Ave ~ Spouse name (if applicable): Name, < Ocorlew City vo First UL POL 695 X35 ——— OUWO4 __ Date of Birth: State Zip 12 “73 Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male (XK) Female (_ ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (KQ Desires Membership in this Church by Baptism (X) Baby Dedication (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: ZF 3) IF Date Baptized: Y/, ao) 3 east. Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) : / | wrNE/ LoreAy \pit? p Ae \\v \ Name: va New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Oo Lyfe Current aiden S LELIICA, OX Street Spouse name (if applicable): 7 5 Membership Information g Y Ci ity State hit, LOS YY 4G] CX Of) A Phone: YI Zip’ GW Z ?iseeasunistea Date of Birth: 7 G Le > Wedding Anniversary;(M@/ Day): ” First 7 /YD Name, address & phone # of nearest relative 4 All i. SU) UL SIO 7 Email address (to inform you of activities/events/meetings):/ 4é) tf V VAHL hn [Non-published upon member request] \ : BQ) Male ( ) Female ( ~ Makes the following public commitment: Accepts Christ as personal Savior and Lord | Desires Membership in this Church by: ) Baptism (\ Bgby Dedication ) (_ ) child’s name: /Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: AB ID Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information V me Kad First / WW) Nor ha Current Address: Tow “Street Spouse name (if applicable): Name, | Phone: 66 / -GUY- Last Co c £ _ City First State Zip 75 SY bn isted/untisted) Y Date of Birth: > Le v GS Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male ( [Non-published upon member request] ) Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (,/) Desires Membership in this Church by: Baptism Baby Dedication (_ ) (_ ) child’s name: Christian Experience ( Name & Address of Church: ( ) Letter from Church (_ ) Date Rec’d: ! ) Rededicates life to Christ/Repentance Baptism ( ) Watch Care I. ) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 2 J / DL] / /3B Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into records: (NZBC UT/March 2009) \ | tenn (SEIS New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 / Membership ° Name: Tyif, 2» ) he (let Current Address: "EN IS tf cM Street Spouse name (if applicable): Name, Mb OV ’ First ee — \alaaf Roll ee Ba if tO “Ural ak First e 8a) q ) . t Yo State % VE LIC) t \ \L? hehe: Phon | \ Zip bahar GlY/ (Listed/Unlisted) 6 elywo, Y -af OY | 7 /_ Date of Birth: 6 _ I —— —L ] Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male ( [Non-published upon member request] ) Female (<) | Makes the following public commitment: Accepts Christ as personal Savior and Lord ('v) Desires Membership in this Church by: Baptism _ Baby Dedication ( VY) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 40| ole Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 > ~ Name: loony irst Current Address: \ oc bam LOAN Street 5 hip Information LaVAY\ | wee Spouse name (if applicable): Name, Member ast \\ Clee — City First rele Phone: . Ur (Listed/Unlisted) 4015 State Zip Date of Birth:. 25-40 Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Y Email address (to inform you of activities/events/meetings): Male 1 [Non-published upon member request] Female ( ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (\ Desires Membership in this Church by Baptism (__) Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism Baby Dedication ( Christian Experience ( ( )WatchCare i ’5 name: Letter from Church (_ ) Date Rec’d: (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: ¥4 / Z 4 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Soh fpips Clerk Signature: studrat Date entered into Records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 / | CHAN Name: IJ bJ \ae = ling Why No Membership Information me N \\ Y\. \NEE "Woon Phone: A) | We \DSBristear Unlisted) First Current Address: ILD Str, S| Spouse name (if applicable): (“i Name, address& \\O\N ds Nv Ayan First phone # of nearest relative 4400 $ | TELIA Cit 20 IN State UT. ‘ e410 Zi Date of Birth: lo akties Anniversary (Mo/Day): | — \) \) y’| V2 Z +4 IM | I) |2- |Z CP | 494 KJV) Vv Email address (to inform you of activities/events/meetings): Male (_ [Non-published upon member request] ) S -J4O) Female (_) Makes the following public commitment: Accepts Christ as personal Savior and Lord OQ Desires Membership in this Church by Baptism (X) Baby Dedication (_ ) child’s name: Christian Experience (_ ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare /(_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 3): 2/ / 3 Date Baptized: “fg 3/ Z 3 Age: A TF Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information Name: lacks First R | 2.05 Current Address: MI S Street Spouse name (if applicable): City CArsity / eos (Soi) Batty rove! | State Axe Cy | 3924-02366 — (Listed/Unlisted) Zip M MI (Ge SUtio/ LOT Vale ste Hewes J; First §— Phone: Last |icow Name, address & phone # of nearest relative Dadly» Minny 4/42 Date of Birth: Wedding Anniversary (Mo/Day): / IA/lg Nia yn 75-4Gei2 Male (SZ) Email address (to inform you of activities/events/meetings): [Non-published upon member request] Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (x) Desires Membership in this Church by Baptism (<7) Baby Dedication (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Ay // 2 Date Baptized: Yaa 2 Age: SY Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information } f Name: Gade First THOMAS Current Address: MAQh4A S,, Street First O City a Email address (to inform you of activities/events/meetings): [Non-published upon member request] C04 (QL ZI4 State (Listed/Unlisted) - (OSU) | Date of Birth: Sdyol Ha VEN 6)D 5a Zip Wedding Anniversary (Mo/Day): MI 1) Le WE Name, address & phone # of nearest relative Phone: | cor \ 20, l Tala \k/. A Spouse name (if applicable): ~ TOAE Las — | iC KSON \ diiron B4O0 )e- S HON OV / Male ( ) Female x) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ Desires Membership in this Church by Baptism ) Baby Dedication 1X) (_ ) child’s name: Christian Experience AL Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Date Joined: Member # Date Baptized: ~¥ | U2 _ Age: J) 2 Wl) Family Ministry Deacon/Deaconess: Other Notes (ifa Clerk Signature a On| LALA [I L YW MWA. B04 Date entered into Records: [ p | +f [2 (NZBC UT/March 2009) CC New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information ona Cv . | Le | ~ f | First Current Address: af ; a! / * Ny d ‘ \ ? i \ ‘ %y > | (| ¢ \Z Street i \ Ci . . KO) ' / ‘eae a _, Mi Spouse name (if applicable): Name, j : a aie) | i “\ Last . ; sy 4 : % : Vi | “‘ Ye \oy\ - | Y City First “ \ \ State Phone: (Listed/Unlisted) | ay, of4 Zip C | Date of Birth: lO Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male ( [Non-published upon member request] ) Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by Baptism (_ ) Baby Dedication (_ ) child’s name: Christian Experience (\.) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Family Ministry Deacon/Deaconess: Other Notes (if applicqb{e): Clerk Signature: AK Rca Al [ HI 4 Date Baptized: Age: _ UDG) , Date entered into Records: /b/ 4/2, (NZBC UT/March 2009) V New Zion Baptist Church 2935 Lincoln <« Ogden, Utah 84401 / Membership Information Names pa wae § First Current Address: [ Frit {| | | ! , f Street “7. Spouse name (if applicable): Name, | | My /)_ é 7 f | Z f= /\, First | address & phone # of nearest relative & . O4 ‘City Ho de Jf f \ Phone{ « # Last oN Li Z ‘L State . LA (AL? = < Sr, os - | / /. Y) (O/T . . (Listed/Unlisted) | | -_ Date of Birth: / Wedding Anniversary (Mo/Day): OO — “ ff } Zip SA MI fy | fa — / . / |/)_ | b& Male ( Email address (to inform you of activities/events/meetings): ) Female (~~) [Non-published upon member request] Makes the following public commitment: Accepts Christ as personal Savior and Lord () Desires Membership Baby Dedication in this Church by Baptism (_ ) (_ ) child’s name: Christian Experience ( ly Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Family Ministry Deacon/Deaconess: Other Notes (if oR | de) | 4 Date Baptized: Age: \ bIe! Clerk Signature’ |) af 4 | 9g Re \ ai Date entered into Records: / bl L: D ap (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 4 Membership Information \ Name: os First Current Address: ’ t S MI © S Rey Street Spouse name (if applicable): __ kk B | Vv of , 36 First City” Spr MI . wurshe OUDey LV eal Jo hn VW f Last x 4 ¥OC/ Phone: » + a0 Yner YON ) a\ _\ Or State cay (uu 0) Zip 7. & 393 \ . - 2svtflis ted/ Unlisted ° Date of Birth: 2>-)- 62 Wedding Anniversary (Mo/Day): oYfo1] fs Name, address & phone # of nearest relative ) Male ( Email address (to inform you of activities/events/meetings): [Non-published upon member request] Female( ) Makes the following public commitment: Baby Dedication Accepts Christ as personal Savior and Lord (1) Desires Membership in this Church by Baptism (_ ) ) child’s name: (_ Christian Experience UP Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Family Ministry Deacon/Deaconess: Other Notes (if PON Clerk Signature: _| “4 | ox 20 \~ Date Baptized: | }: xf SN, Age: ys Date entered into Records: / Df [2 yd (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information Name: Ooh First Current Address: Al Sa MI Stree pret Monte Alvd Last / (36. City FCA ‘ CeraAl Spouse name (if applicable): zg First “27 COGDE~! State ‘D2 ut “G5 Stat (Listed/ Unlisted) ~<300Y of b> Date of Birth: Wedding Anniversary (Mo/ Day): ove fe3 tlie, c Name, address & phone # of nearest relative (Wad. elinl = PO: box Phone: SO! ArONELY / EY / (Me Lk ee) Female( ) Male ( Email address (to inform you of activities/events/meetings): [Non-published upon member request] ) Makes the following public commitment: Accepts Christ as personal Savior and Lord ( Wo Desires Membership in this Church by: Baptism Baby Dedication ( ) (_ ) child’s name: Christian Experience = a Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism _ Date Joined: Member # ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only _* | 7% | FV (4) Age: Date Baptized: Family Ministry Deacon/Deaconess: Other Notes (if appli Clerk Signature: xP ible): 5 j Date entered into records: JAN 2 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information \ rome: _| \) First @ Current Address: He a __ZO MI Last LveE Gtlloowu +H Street Spouse name (if applicable): Name, Ken ml / . er AY Cc City (A. | First State (Listed/ Unlisted) < Phone: bi x Zip Date of Birth: GS /” Z idl Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male (Ss [Non-published upon member request] Female (_ ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ Desires Membership ) in this Church by Baptism Baby Dedication (_ ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism / Member # Date Joined: ag) ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only 5 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if A Clerk Signatur yy Date entered into Records: Ly j a) 12 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Y Membership Information ~ a. Gee First roctk of Current Address: a Street - Spouse name (if applicable): Name, Ke MI Ly First ‘4 Phone: Last ty 4) A ~ UF State |2. <a /. _& SPI | (05 C44 0 44 Zip (Listed/Unlisted) Date of Birth: o— £6-62_ Wedding Anniversary (Mo/Day): S- -3- MI LO address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male ('~}-- Female (__) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by Baptism (_ Baby Dedication ) (_ ) child’s name: ——__ Christian Experience ( e+ Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: b/ i; b/2e/ 3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if PES Clerk Signature: py A . Date entered into Records: [ b). 4, /2 (NZBC UT/March 2009) y New Zion Baptist Church 2935 Lincoln <« Ogden, Utah 84401 Membership Information fle fA BY i\Gaikbyaveowa First Current Address: |RAL ‘Street . MI *. (usa des Spouse name (if applicable): ™ [SA YA) Last 7 | 4 dy Phone: C City First ae ce’ State UF ) , _ A _£© > Zip . -\ l(Listed/ Unlisted) Date of Birth: —, i oe “ FG) Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative W_Cafrale ay Email address (to inform you of activities/events/meetings):, [Non-published upon member request] : Female (_ ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (AT Desires Membership in this Church by Baptism , ( 4 Baby Dedication (__) child’s name: Christian Experience (_ ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( ) Watch Care (_ ) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: CL. Zi {7213 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if pela ty Clerk Signature: +7 S 4 Date entered into Records: ) ly Y/) A (NZBC UT/March 2009) “R: ; Ce \ \ ae ey VK byte New Zion Baptist Church ; 2935 Lincoln « Ogden, Utah 84401 Membership Street Spouse name (if applicable): City First otc [gs UT ( leWetiy ‘ 181 Phone: (L [ [Ce WL ( cor ‘VsM Current siren J°% Information State Sede MI [34- sted Untisted) Yb 4 Date of Birth: O ¥ 2FEE Anniversary (Mo/Day): Name, address & phone # of nearest relative ZL Male (i) Email address (to inform you of activities/events/meetings): Female (_ ) [Non-published upon member request] Makes the following public commitment: ‘UA Accepts Christ as personal Savior and Lord Desires Membership in this Church by: fran Dedication (_ ) child’s name: Christian Experience ( Baptism (\/) Name & Address of Church: ( ( ) Rededicates life to Christ/Repentance Baptism )WatchCare (_ ) Letter from Church (_ ) Date Rec’d: ) Dedicates life church related vocation For Clerk’s Use Only Date Joined: Member # bf; j tel 2 Age: Date Baptized: Family Ministry Deacon/Deaconess: yy Other Notes (if “Pople Clerk Signature: | - - iyNiece Date entered into records: / b) UY Ls (NZBC UT/March 2009) > nun - Name: New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Pet AV First Membership Information ' Ne \ | VO q A\ WW) ™ abs aw, Current Address: Street Last First Sinn C J N Phone: IS City Spouse name (if applicable): Name, C “oes State 44 oO fi oY Zip f Vine } <P (€isted/ Unlisted) 1-3-9 A Date of Birth: Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male ( [Non-published upon member request] ) Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord ( X Desires Membership in this Church by: Baptism Baby Dedication (X) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_ ) Dedicates life church related vocation /a)2 For Clerk’s Use Only Member # Date Joined: m3 IE Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if ae Clerk Signature: __—_ )\.__ | 4 2S (i \p) CAIVU With Q M1 NAL Bum bt \4 Date entered into records: Vi l / /Af 1 (NZBC UT/March 2009) Ke New Zion Baptist Church ce 2935 Lincoln «« Ogden, Utah 84401 Name: First Bena Current Address: \\ . memoriam, ~n Membership Information IASI OVA | MI Street Spouse name (if applicable): Phone: Last City First State (Listed/Unlisted) AL? fac Zip Date of Birth: I" 5 | LeU Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male ( [Non-published upon member request] ) Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (X) Desires Membership in this Church by Baptism Baby Dedication ( x) (_ ) child’s name: Christian Experience (_ ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: C/, J bf. Aol 3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 © Y “ g Name: | rst Current Address: OA, VE 22 | NEA CE Street Spouse name (if applicable): Membership Information |Z K: MI Co +G27 Ce Phone: C¢/-62 5~-S WoAListed/Unlisted) Last Ave City First Cox, “State , LEZ Zip Date of Birth: Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male ( [Non-published upon member request] ) Female( ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ Desires Membership in this Church by: ) Baptism Baby Dedication ( ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: $25 {me if: 3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: RP _ Date entered into records: / o/s) 14 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 / Name: SAG oo TN —< ©9tC ¥)1 First ale? ae CYC Current Address: |4\~ >) CONG ane Que Street WY sist br Dd AN Last Ore si | LOG si City ra Name, address & phone # of nearest ata LUV Membership Information CoOnyON Cove Crest Phone: 4 0 LAY \ SY! State Zip asden LOMrE Apt ELOar Il Date of Birth: CS} wm Z | IY CN] Wedding Anniversary (Mo/Day): MI (CYA (Listed/ Unlisted) _ ___ UT sU44ol Email address (to inform you of actieitiest eenietimetinas) C\ INES WowarGC* \ Sie) [Non-published upon member request] CCWMale ( ) Female (— 3} Makes the following public commitment: Accepts Christ as personal Savior and Lord (Ly Desires Membership in this Church b Name & Address of Church: ( fe _\f\@ Baby Dedication ROCK , Date Joined: ) —_ s name: “IC Christian Experience ( Lj__Letter from Church (_ ) Rededicates life to Christ / Repentance Baptism Member # (_ Qhu ch ( _ C?\) fOr )WatchCare ) Date Rec’d: c /(_) Dedicates life church related vocation For Clerk’s Use Only Bf: AL Fo / S Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if PAG Clerk Signature: i t Date entered into Records: | /Ly Uf [A (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 ) f- of A | C a Membership Information J Name: __. tl |. Nut Current Address: eee aq)FY kK Street Jp NM = 4 AL A Ahr(id, L City | First address & phone # of nearest relative . Leahdhea. Spouse name (if applicable): Name, i Mer ; Wal 4 Py. ° ( ‘aA State MI pj Phone: ; sw Liu (Listed/ Unlisted) A c 7% Date of Birth: Zip Wedding Anniversary (Mo/Day): VAL y ) , Sh . YU AS po All. Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male ( ) Female( ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by Baptism (_ Baby Dedication ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Family Ministry Deacon/Deaconess: Other Notes (if appli¢able): | Clerk Signature: ? VV 9.26/ Ae / 3 T / ail Date Baptized: Age: ,) I. pbsg P ; Date entered into Records: a: [b/4p)P U 3 / | (NZBC UT/March 2009) re, New Zion Baptist Church Tem fo \ 4 \ Name: waa First ve Current Address: {) , Street LOO] , Membership Information MI Last an City >) 4 C7 ) ns Coe (Jeo (Listed/ Unlisted) Phone: Ts I C VU, Css Eo” State Date of Birth: Zip Wedding Anniversary (Mo/Day): Spouse name (if applicable): 7 | R C (- VC Name, address & pen 2935 Lincoln <« Ogden, Utah 84401 First f2.; Ad # of nearest relative A Nagle Zz (G-77S- LS L¢ [Cc 196% Anta Puello, CO ~ < 2 | Email address (to inform you of activities/events/meetings): [Non-published upon member request] .V< 4 ma: terren & ~_ ({ g. [ Male (;,/) Female( ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ Desires Membership in this Church by: Name & Address of Church: ( B pis Baby Dedication ) ( NY ) Christian Experience (\4_ Sdlcet ) Rededicates life to Christ/Repentance Baptism ) child’s name: (_ ( )WatchCare Letter from Bagti ( of Church (_ ) Date Rec’d: Church ) Dedicates life church related vocation For Clerk’s Use Only Date Joined: Member # Y c25/, ¢ (3 Age: Date Baptized: Family Ministry Deacon/Deaconess: Other Notes (if PPA Clerk Signature: 1 Ly 7 , Date entered into records: / Md 4]. [3 (NZBC UT/March 2009) ap ; Ine New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information 4 Name: whe Current Address: Street Spouse name (if applicable): Name, fan, 3. £cur f2 (Listed/ Unlisted) ’ Al Zip ot en /-S- 70 Wedding Anniversary (Mo/Day): First address & phone # of nearest relative Female (_ Male (w=. Email address (to inform you of activities/events/meetings): [Non-published upon member request] ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by: Baptism ( Baby Dedication (_ ) child’s name: ) Christian Experience ( ) Letter from Church (_ Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare ( ) Date Rec’d: ) Dedicates life church related vocation For Clerk’s Use Only Date Joined: Member # §7. Ll aL. Zl ‘3 Age: Date Baptized: Family Ministry Deacon/Deaconess: a_i Other Notes (if eae Clerk Signature: y Date entered into records: EY] 2 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information Nomen! . HV | cel | A lewvond er First Current Address: DO Clac- (. aw MI b Last Comoros Street Spouse name (if applicable): 3 S City First Phone: State Zip | MI (Listed/ Unlisted) Date of Birth:1G -15+ ID Wedding Anniversary (Mo/Day): Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male (7 [Non-published upon member request] Female (_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (J Baby Dedication Desires Membership in this Church by Baptism (a (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 32 Ze(72/3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if Ae Clerk Signature: edit Lfa_\ jo Date entered into Records: / WH-/, / 4 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 w J eo Name: - Membership Information C [Lid bE 4ust First Current Address: MI _Clearffeld Street Job Spouse name (if applicable): Name, fn Lew. Phone: 7 (4-22? Ldst Cur PS. City First State Zip “70206 (Listed/ Unlisted) 7 Date of Birth: 8 PBL Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male [Non-published upon member request] VY Female (_ ) Makes the following public commitment: Accepts Christ as personal Savior and Lord Lv ( Baby Dedication Desires Membership in this Church by Baptism (_ ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: PS, £ 5 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if eA Clerk Signature: DN ie): _{ Date entered into Records: 4 / | A) | D (NZBC UT/March 2009) aA, New Zion Baptist Church he ; J \ \\4 J ( | C Name: MI Current Address: ChearEeia"’ Street Spouse name (if applicable): 2935 Lincoln « Ogden, Utah 84401 R a7 First oO C Membership Information [} \Ch =F ——. MOC > st MY 4 Corps ib v q City First ~ prone State \+ 04 1D Zip (Listed/Unlisted) Date of Birth: | | 04 | Ay) Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male ( ) Female (K) Makes the following public commitment: Accepts Christ as personal Savior and Lord Desires Membership in this Church by: (\/) Baptism W Baby Dedication ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: $5, 120 2 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if rae Clerk Signature: “ a > Date entered into records: PH # |Z 4 (NZBC UT/March 2009) Ke 4 ae New Zion Baptist Church 2935 Lincoln <« Ogden, Utah 84401 u Membership Information 2% ro Name: Tan irst f; ( ‘a MI Current Address: Hikes Last Street Spouse name (if applicable): Name, (VW Phone: City First State W939 7 Zip Zz A . OF,Ciscousuntisted) Date of Birth: Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male ( [Non-published upon member request] ) Female( ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by Baptism J Baby Dedication (_ ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Family Ministry Deacon/Deaconess: 92 5/22 (3 ( Date Baptized: / Other Notes (if Prep Clerk Signature: Age: —_— a, Date entered into Records: TF iy Mf./3 (NZBC UT/March 2009) at.Ke New Zion Baptist Church é Ny / \ Name: ‘i a Ci First LS. Current Address: __| a Membership Information kL L~, | fe TM MI Last Street Spouse name (if applicable): Name, Z C € 2935 Lincoln « Ogden, Utah 84401 r71K Z Phone: City First State G Z i Zip "Sa ys _ 1 . “ROA ; G (Listed/ Unlisted) Date of Birth: Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Male ( Email address (to inform you of activities/events/meetings): [Non-published upon member request] ) Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ in this Church by: Desires Membership ) Baptism Baby Dedication (_ ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( A Watch Care (_) Dedicates life church related vocation For Clerk’s Use Only Date Joined: Member # S[li fide L > Age: Date Baptized: Family Ministry Deacon/Deaconess: Other Notes (if Clerk Signature: ee pe j {’ - f f r r (OU — J Date entered into records: / 4. / 2 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 . va Name: hh-tr First Current Address: ) Ma Loge MI AWM full Street Spouse name (if applicable): Name, «4 ; Membership Information hiink Last Cor% J°p GER. cy : Phone: City First State = 4 ye Zip 014 - (Listed/ Unlisted) Date of Birth: Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] Makes the following public commitment: Male (_ Female (_) ) / Accepts Christ as personal Savior and Lord ( Desires Membership in this Church by Baptism /( Baby Dedication (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare /(_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 5291. Ao / 3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if ae Clerk Signature: ble) ~ 1 7 7 \ Ne \ , Date entered into Records: | / 0] yy, / 4 _# _* (NZBC UT/March 2009) ails if | VS- em vame J (\(0 First Q Current Address: YK Weta Last Q (| ae( (| a VS Stree Spouse name (if applicable): Gaede Membership Information M MI | of nearestr ; Email address (to 9 you of tO Moly [Non-published upon member request] Zip State LA2 best (ol Phone: Adl Lo 14- )2Gpastedfuntisted \4 City First Col JOU Ul Name, address & phone # Je New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 al in Date of Birth: \Zfoafqu Wedding Anniversary (Mo/Day): 1400 CoyTh Ley{ q qm couth Jorday VT Ll UV Male ( Female VA Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by: Baptism (g) Baby Dedication ( ) child’s name: Christian Experience ( ) Letter from Church (_ Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( ) Watch Care ) Date Rec’d: (4) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Bk : Yeto 3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if ap DS able): Clerk Signature: y 4 Date entered into records: / D 4] D (NZBC UT/March 2009) “ Te New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information Name: / ‘AM First Current Address: Zz / JSAmte) MI ‘ lob Street Spouse name (if applicable): Phone: L0S-E25 Last ax 2 pS , City First State Zip C 7. 66 P.ted/Unlisted) Date of Birth: Al --f- B42 Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative N Mili, Email address (to inform you of activities/events/meetings): [Non-published upon member request] (Wale ) Female (_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ Desires Membership in this Church by: ) Baptism ( Baby Dedication ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: 8/, L5[2a/ 3 Date Baptized: Age: G | / Family Ministry Deacon/Deaconess: Other Notes (if vprieepe Clerk Signature: ; ts 1) Date entered into records: / b| HY [A (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 a Name: f AS) Jann bk pten x First Current Address: V C C leat Street Spouse name (if applicable): Name, Membership Information / i / a Lar Leer 1/) Las ; A Ane i J Bb Cor |alee wy, . , 7 Og - -W/ So sted/Unlisted) Date of Birth: os) Zip State / fA) Wedding Anniversary (Mo/Day): MI First Y- FYOl @ UOT City Fs Phone: Lf) tery address & phone # of nearest relative Email address (to inform you of activities/events/meetings): [Non-published upon member request] bamere ak “ak oO hien CY oy’ 7 aA? if Co-tHhale (x a “Female ( ) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by Baptism (_ Baby Dedication _) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: by L520 £. > Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if appli Clerk Signature: DX Ble): 1 Date entered into Records: Lt) Uf. / 4 (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information Name: \ SJ current Kn First U4 je \ VAC \nAve Stee ti Address: 42 Street City C\ 4 Phone: c ¥ + Avs\n\ \) loca 2 5 SO B44 OT Zip State oS OL 2N (Listed/ Unlisted) nr QR2>- Date of Birth: LD -O3-4 Wedding Anniversary (Mo/Day): Spouse name (if applicable): First MI Name, address & phone # of nearest relative ) Male ( Email address (to inform you of activities/events/meetings): [Non-published upon member request] Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ Desires Membership Baby Dedication ) in this Church by Baptism (_ ) child’s name: (_ Christian Experience ( ) ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Date Joined: Member # 4 | | 2 22 [ 4 Age: Date Baptized: Family Ministry Deacon/Deaconess: | Other Notes (if eR Clerk Signature: { ‘a Date entered into Records: f{_. HOG] 4 (NZBC UT/March 2009) - New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Name: 4 nut vr CV LQ First ve Current Address: Z4 4 FOU EJ Street Spouse name (if applicable): Name, Information | 2 Bes O-* oy os Phone: Od ‘Last Zip State ZRisted/ Unlisted) 2, a4 | Wedding Anniversary (Mo/Day): MI First (fF Date of Birthr ies .) Xe Ch ty CAO address & phone # of nearest relative rill Email address (to inform you of activities/events/meetings): [Non-published upon member request] : Or ( Malet ) Female(_) Makes the foilowing public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by: Baptism Baby Dedication (_ ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church ) Rededicates life to Christ/Repentance Baptism ( )WatchCare /(_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: G/ [ Sf DH [a Ky U/ Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if “BX Clerk Signature: ): WN /} Fy a Date entered into records: / Dey 4 (NZBC UT/March 2009) ae, New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 A \ Name: beray Membership Information Au j MI First Current Address: R \ ob Street Spouse name (if applicable): Last CVGN First 9435-3 Zip State City y Phone: \dmarn LP ~A IAF (Listed/ Unlisted) Date of Bite S-8°7 | Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Male @) Email address (to inform you of activities/events/meetings): Female( ) [Non-published upon member request] Makes the following public commitment: Baby Dedication Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by: Baptism (_ ) ( ) Rededicates life to Christ/Repentance Baptism ) child’s name: Christian Experience (@) Name & Address of Church: ( (_ ) Watch Care Letter from Church (_ ) Date Rec'd: (_) Dedicates life church related vocation _ For Clerk’s Use Only Member # Date Joined: Family Ministry Deacon/Deaconess: + / | 4 12e i. | | Ly Other Notes (if applicable): Clerk Signature: Age: Date Baptized: Date entered into records: Mie, _ (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information cs = Name: ayouns A First concent Address: Spouse name (if applicable): Cu Strey- MI C ov City First Da Moth g y¢ “AD z State _28 \4 7b? / K (Listed/ Unlisted) iS Date of Birth:03/0z/ s Zip Wedding Anniversary (Mo/Day): Mi + Name, address & phone # of nearest relative | Phone: ast J ob Street Ye ns Taster ; 42h Z\1 _ _@ 3 -“A00 : i Email address (to inform you of activities/events/meetings): Male [Non-published upon member request] %) Female (_ ) Makes the following public commitment: Accepts Christ as personal Savior and Lord A Desires Membership in this Church by Baptism (_ Baby Dedication ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: o | l 5 | 20 (2 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 z 2 Name: malt. — AWA Current Address: \ Street Phone: RS CV = UU WMO SOY Spouse name (if applicable): Name, Information Membership wiar,¢ | “= | | i ) J UY TT Bisteas Date of Birth: Unlisted) ( ie G3 Wedding Anniversary (Mo/Day): MI First C() Zip State City a address & phone # of nearest relative Male ( Email address (to inform you of activities/events/meetings): ) Female (—f [Non-published upon member request] Makes the following public commitment: Accepts Christ as personal Savior and Lord (\_v Desires Membership in this Church by Baptism Name & Address of Church: ( Baby Dedication (_ ) ) Rededicates life to Christ / Repentance Baptism ) child’s name: (_ Christian Experience (_ ( )WatchCare ) Letter from Church (_ ) Date Rec'd: (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: CIPO > Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) K, New Zion Baptist Church ne | 2935 Lincoln « Ogden, Utah 84401 R D Name: fazer First Current Address: _10 3 Street Spouse name (if applicable): Membership Information MI oT Cap tel Wact Last City 6 - q (27 Z120% Ms Zip State First a Phone: H VA Vers $71 (Listed/ Unlisted) Date of Birth: 1 /4[ 47 " Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Male Email address (to inform you of activities/events/meetings): [Non-published upon member request] Female (x (_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_ ) Desires Membership in this Church by: Baptism Baby Dedication (_ ) child’s name: Christian Experience ( (_) ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ( ) Rededicates life to Christ/Repentance Baptism )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # f. “2, bal Date Joined: Family Ministry Deacon/Deaconess: _ Other Notes (if applicable): Clerk Signature: / {Ph LAP. " Date Baptized: a Age: a NA I t Date entered into records: (NZBC UT/March 2009) q/ SL/, /3 New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 / y | Name: Snseo irst i Current Address: | Jol Street Membership Information atti =a Cfops Spouse name (if applicable): ast City First PhoneX\ I‘ 54)! ] ? c State Zip “O4F bai Unlisted) |2 ; Date of Birthy. FL [ GO Wedding Anniversary (Mo/Day): MI Name, address & phone # of nearest relative Email address (to inform you of activities/events/meetings): Male (X) [Non-published upon member request] {Makes Female (_) the following public commitment: Accepts Christ as personal Savior and Lord (X ) Desires Membership in this Church by Baptism (_ Baby Dedication ) (_ ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism Member # Date Joined: Family Ministry Deacon/Deaconess: y i o YL ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Date Baptized: Age: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) be \ * 7 a/: SL], /3 New Zion Baptist Church 2935 Lincoln <« Ogden, Utah 84401 Membership Information Current Address: ¥ a? Jok Street Spouse name (if applicable): Name, Cops Phone.\ I 64) VI ? & Mart Pp OSCON none Zip State City ar Unlisted) | 2 “OF Date of sireng 2/0 | Wedding Anniversary (Mo/Day): MI First address & phone # of nearest relative Male (X) Email address (to inform you of activities/events/meetings): Female (_) [Non-published upon member request] (Makes the following public commitment: Baby Dedication Accepts Christ as personal Savior and Lord xX ) Desires Membership in this Church by Baptism (_) ) child’s name: (_ Christian Experience ( ) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( ) Watch Care (_) Dedicates life church related vocation ; For Clerk’s Use Only Member # Date Joined: alaa (39/3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into Records: (NZBC UT/March 2009) 0 BAS ~ pnril Nap WEI PIN sy Name: Al) {| C Ulf | ny 7 4 ale Ihe \ \ vo First Current Address: > Fh New Zion Baptist Church Qc . Street Spouse name (if applicable): x 2935 Lincoln « Ogden, Utah 84401 a MI Membership S 1) [\OM — | d | f First Name, address & phone # of nearest relative I, LN ie Information ALS }- oN ast, - City LS rk YA OngGy_ 7. 7/ ¢ ) X44 y Y State Lei Minao 10 ) 24. i | N Zip EE f) ) Sh sea Date of Birth: AnRIVETSETYy - G J [9 1b Mo/ Day): . Lh (! : LL Email address (to inform you of activities/events/meetings): [Non-published upon member request] une (id) LA CAY_ Male( ) Female (c_) Makes the following public commitment: Accepts Christ as personal Savior and Lord (_})-~— Desires Membership in this Church by: Baptism ( Baby Dedication ) (_ ) child’s name: Christian Experience ((j—tetter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: ol La Av l 2 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 Membership Information Name: gliren | Tamu Fest I? — Address: 1212 Street Spouse name (if applicable): L Pr LACOy) Phone: ~Last \ /) ra (Wa \é () V\ \0 l First Name, address & phone # of nearest relative MY iY yi a City Ic Gand Email address (to inform you of activities/events/meetings): [Non-published upon member request] | UT 7 a Westeasuntisted) ~ KF State Zip Date of Birth: Wedding Anniversary (Mo/Day): \\ (\ MI (* Qrnre PO ~(AA~- | le Dacken@ pyc C1YMale ( ) Female s) Makes the following public commitment: Accepts Christ as personal Savior and Lord (f+ Desires Membership in this Church by Baptism Baby Dedication (_) (_ ) child’s name: Christian Experience DX Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ / Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: Hl [ of 4/; eo [3 Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applic Clerk Signature: f { | s js Date entered into Records: 4/26 /,JL (NZBC UT/March 2009) , New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 wf g \ ame: JAY. \epher First Current Address: SGS4 As. Street Spouse name (if applicable): Membership Information LOSE MI O44 Zt Yes / £F Phone: zi Last Lt City State 107 OTIOS Zip (Listed/Unlisted) “S7%:$S AZ Date of Birth: (js / Ne Wedding Anniversary (Mo/Day): MI First Name, address & phone # of nearest relative Male ( Email address (to inform you of activities/events/meetings): ) Female( ) [Non-published upon member request] Makes the following public commitment: Accepts Christ as personal Savior and Lord ( | Desires Membership in this Church by: Baptism Baby Dedication ( ) Christian Experience ( Name & Address of Church: ( 2¢ Date Joined: Letter from Church (_ ) Date Rec’d: f ) Rededicates life to Christ/Repentance Baptism Member # (_ ) child’s name: 4 Watch Care (_) Dedicates life church related vocation For Clerk’s Use Only Lo ( 3 Age: Date Baptized: Family Ministry Deacon/Deaconess: , Other Notes (if PAW Clerk Signature: __; > 5 Date entered into records: f_, 429) 4 (NZBC UT/March 2009) aie New Zion Baptist Church “> 2935 Lincoln « Ogden, Utah 84401 Membership Information Name: LA aN First C Current Address: Spouse name Name, CL Née\y | MI Jor COfPs C\Cukei\a Street (if applicable): Last First 2 U) \)J \ State — | Phone: ae City aC address & phone # of nearest relative | H U5 | ah Zip - 5 G su OfListed/ Unlisted) Date of Birth: Wedding Anniversary (Mo/Day): MI b JOS Email address (to inform you of activities/events/meetings): [Non-published upon member request] Male ( ) Female(_) Makes the following public commitment: Accepts Christ as personal Savior and Lord ( A Desires Membership Name ( in this Church by: Baptism Baby Dedication J) ) child’s name: Christian Experience ( ) Letter from Church (_ ) Date Rec’d: & Address of Church: ) Rededicates life to Christ/Repentance Baptism ( F Member # (_ Date Joined: )WatchCare or Clerk’s /2/ 5/5013 (_) Dedicates life church related vocation Use Only Date Baptized: Age: Family Ministry Deacon/Deaconess: Other Notes (if applicable): Clerk Signature: Date entered into records: (NZBC UT/March 2009) New Zion Baptist Church 2935 Lincoln « Ogden, Utah 84401 ms Name: \\\aa Co First Current Address: aS IP Street Membership Information Laws M CALS Spouse name (if applicable): roe 4 First Makes the following public commitment: Accepts Christ as personal Savior and Lor wy ) : in this Church by Baptism ( Date Joined: Clerk Signature: J 0P> 7Y> 2537 . [yi J / | 6 Mo/Day): @ g/xj/oy, li pel d/ fl (vf | : [ LLIN | Male ( oll | Y), /Af /- ) Female ws Date Rec’d: / ited vocation /C ips Age: | [dy Ir [¢ Family Ministry Deacon/Deaconess: Other Notes (if applicable): 2/4. 7 A ) Rededicates life to Christ / Repentance Bapti Member # sceai Unlisted) _- Name & Address of Church: ( # [Wasa Email address (to inform you of activities/events/me: [Non-published upon member request] BFS ete of Birth: 5 ) Name, address & phone # of nearest relative Desires Membership Phone: J\-Thh- Last HL ; (! Lips StL aT Date entered into Records: (NZBC UT/March 2009) }S Rr New Zion Baptist Church oS \ — J. Name: \ Qvel\\ First Current Address: . Y 25 Street \ R MI Spouse name (if applicable): Name, 2935 Lincoln « Ogden, Utah 84401 Membership Information . — bys Loot AX \QUutW W State Gity First 2495 ) S39 phon Last ~ ; | G44 Zip \ “7 Z (Listed/ Unlisted) 700) od . 5(1/ 4? Date of Birth: : Wedding Anniversary (Mo/Day): MI address & phone # of nearest relative / Female (_ Male ( J) Email address (to inform you of activities/events/meetings): ) [Non-published upon member request] Makes the following public commitment: | | Baby Dedication ( ) chfid’s name: Accepts Christ as personal Savior and Lord (* 1) Desires Membership in this Church by: Baptism ( ) Christian Experience (~) Letter from Church (_ ) Date Rec’d: Name & Address of Church: ( ) Rededicates life to Christ/Repentance Baptism ( )WatchCare (_) Dedicates life church related vocation For Clerk’s Use Only Member # Date Joined: vy [ [3 Age: Date Baptized: Family Ministry Deacon/Deaconess: Other Notes (if Pre Clerk Signature: t {_) JD MDS Si hin E { Date entered into records: ; YAS), 4 (NZBC UT/March 2009)