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Member's Information Form

Name

Middle Name

Last Name

D.O.B. (Month/Date/Year)

P.O. Box

Street Address

City

State

Zip Code

Phone Number

Email Address

What is your spiritual gifts or talents?

Are You:

Single Seperated Married Widower

Education Level:

Elementary Middle School High School College

Degree In:

Husband's Full Name:

Wife's Maiden Name:

Children's Name

Your Father's Full Name:

Your Mother's Full Name Before Marriage:

Are you coming from another church?

Yes No

If yes, were you baptized

Yes No

If so, what is the name of the church?

What made you what to join Mt. Pisgah Harnett Church?

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Sunday School - Sundays at 9:45 am | Worship Services - Sundays at 11 am | Bible Study - Wednesdays at 7 pm

Mount Pisgah Harnett O.F.W.B. Church | 145 Prospect Church Rd. Erwin, NC 28339 | 910-897-4514 | mp*******@gm***.com

Home
About
Ministries
Calendar
Media
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Contact Us
Our Conference

Home
About
Ministries
Calendar
Media
Giving
Prayer Request
Contact Us
Our Conference

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