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Celebrate Life of Rev. Burkins'
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EUPC EVENT REQUEST FORM
Membership Application
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Home
Ministries
>
Christian Education
Church Family Life
Service Ministries
Get Involved
About Us
Reverend Maria Crompton
Message From The Senior Pastor
Staff & Volunteers
Elders
Deacons
Our Church
>
Vision & Mission
Our History
Livestream
>
FUNERALS
Previous Services/Events
Sermons/Videos
>
Juneteenth 6.20.22 Conversation
Celebrate Life of Rev. Burkins'
LET'S CONNECT
Calendar/Events
Elmwood & Community Events
Donate
Contact & Forms
Contact
Forms
>
COUNT ME IN!
EUPC EVENT REQUEST FORM
Membership Application
Subscribe to Newsletter
Application for Membership
It is my desire to unite with this church by:
*
Profession of Faith
Reaffirmation of Faith
Letter of Transfer
I Desire A Call From the Pastor
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Cellphone Number
*
Date of Birth
*
Place of Birth
*
Email
*
Choose One
*
Male
Female
Choose One
*
Single
Married
Divorced
Widowed
Have You Been Baptized?
*
Yes
No
When?
*
Where?
*
Parent/Guardian Name
*
First
Last
Parent/Guardian Name
*
First
Last
If you have a child or children joining, please complete a separate application for each child and list their name(s) below.
*
How Did You Learn About Elmwood?
*
Submit
To download a hard copy of the membership application, click on the file below.
membership_application_rev_10.19.18.pdf
File Size:
162 kb
File Type:
pdf
Download File