MEMBERSHIP FORM | MICAH 7 MINISTRIES

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10th CHURCH ANNIVERSARY!

Celebrate With Us!

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Membership Information Sheet

First, Middle & Last Name

Address

Phone

Date of Birth * required

Wedding Anniversary if applicable

Date you joined Miach

Baptism Date

Location of Baptism

Church activities or ministries you joined or are interested in joining. (Include activities you are interested in joining)

Additional Information

Are you interested in participating in Church/Group social activities?

Yes

If yes, please circe the types of activities you would be interested in participating in:

Sporting Events

Amusement Parks

Travel Club (Extended Trips)

Plays

Reading Club

Movies

Gospel Concerts

Travel Club (Weekend)

Museums

Would you be interested in serving on a Call Committee?

Yes

If yes, please check all Call Committees you would be interested in serving on.

Pastoral Anniversary

Church Anniversary

Clergy Appreciation Month

Member Birthday Recognition

Other

Please list your career/job skills (i.e, computer, teaching, construction, data entry, event planning, etc..)

Emergency Contact Information

Contact Name

Contact Phone

Contact Address

Are there any medical needs we should be aware of? (In the event of illness during worship service)

Comments

Thanks for submitting!

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info@micah7ministries.org

Tel: 732 377-2032

Fax: 732 377-2025

Mailing Address:

1010 Park Avenue BSMT

Plainfield NJ 07060

Write Us

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