Membership Transfer

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This field is for validation purposes and should be left unchanged.

Current Church Information

Please be specific. For example, if it is the FIRST or HISPANIC or CENTRAL church, include the applicable descriptor in the name.

Church Name*

Member Information

Previous Last Name(s)

Other Ethnicity*

Contact Information

Your Phone*

Preferred Method of Contact

Best Time to Call You*

Current Occupation/Retired From What Occupation

Other Occupation

School Name*

Grade*

Family Information

If the member is related to a member of an SDA church, please specify the relative information. This helps us know if/when to add this record to an existing family or create a new family.

Your Comments/Questions