MEMBERSHIP REQUEST

Membership Transfer Request

We would love to have you officially join the East Salem Church family as a member!
Please fill out the following information, and a member of our pastoral team will get back to you shortly.

Your Name

Phone

Street Address

City, State & Zipcode

Birthdate

Select One

I Have Already Been Baptized

I Have Not Been Baptized

Are You a Member at Another SDA Church?

Yes

Not Sure

Name, City & State Where That Church is Located

What is the Name of The Church?

Are There Other People In Your Household Who Will Transfer with You?

Yes

Please Enter the Name, Birth Date, & Contact Information for Each Person Wanting Membership at the East Salem Church. Enter Each Person on their Own Line. (Press Enter to Create a New Line)

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MEMBERSHIP REQUEST

Membership Transfer Request

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