ANDREW MURRAY CONGREGATION

New Members & Updating

ANDREW MURRAY CONGREGATION

New Members & Updating

Please complete the form in full.
Alternatively, Electronic Form can be downloaded in PDF format at the bottom of the page and emailed to info@constantiakruin.co.za

ADULT 1 - PARTICULARS

Ceremony Date

Confirmation Completed?YesNo

ADULT 2 - PARTICULARS

Ceremony Date

Confirmation Completed?YesNo

I/we hereby declare that the information provided is true and correct and I/we give permission that Andrew Murray Constantiakruin may store my / our information and use it for Andrew Murray Constantiakruin purposes.

Todays Date

Are you part of a cell group?YesNo

If No, would you like to join a cell group?YesNo

If YESGroup LeaderAssistant Group LeaderCell Member

HOME ADDRESS

PROOF OF MEMBERSHIP

CHILDREN UNDER 18 - PARTICULARS

CHILD 1

Please make your selectionBaptismBaby DedicationNone

Baptism Date

CHILD 2

Please make your selectionBaptismBaby DedicationNone

Baptism Date

CHILD 3

Please make your selectionBaptismBaby DedicationNone

Baptism Date

CHILD 4

Please make your selectionBaptismBaby DedicationNone

Baptism Date

ANY OTHER INFORMATION YOU WOULD LIKE TO BRING TO OUR ATTENTION

I/we give permission to Andrew Murray Constantiakruin to store my/our information and use it for Andrew Murray Constantiakruin purposes.

Todays Date

NEW MEMBER & UPDATE FORM

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