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New Bethel Missionary Baptist Church
Join New Bethel

New Bethel Missionary Baptist Church

Please print and return the completed form to New Bethel at:

2508 Crest Street Durham, North Carolina 27705 Fax: (919)286-7200

Rev. Leslie Stevens, Secretary

Reverend Dr. Glenn R. Davis, Pastor

John Daniels, Chairman Deacon Board

Willie Hill, Finance Chairman

Edgar L. Nunn, Treasurer

 


CHURCH MEMBERSHIP AND DECISION RECORD

MR.

MRS.

MISS. ___________________________________ DATE ______________________

RESIDENCE ____________________________________________________________

PHONE ____________________________ CELL#: __________________________

MAILING ADDRESS: _____________________________________________________

BIRTHDATE: MONTH: _____________ DATE: ____________ YEAR: _____________

UNIVERSITY: _________________ CLASSIFICATION: 1__ 2__ 3__ 4__ GRAD__

EMAIL ADDRESS: _______________________________________________________

IM SCREEN NAME: AOL: ____________________ MSN: ______________________

YAHOO: __________________ OTHER: ____________________

NAME AND ADDRESS OF NEAREST KIN OTHER THAN ABOVE ADDRESS:

______________________________________________________________________

YOU ARE MAKING THE FOLLOWING COMMITMENT:

( ) ACCEPT CHRIST AS LORD AND SAVIOUR

( ) CHURCH MEMBERSHIP: BAPTISM ___ STATEMENT ___ LETTER ___

( ) FULL MEMBERSHIP

( ) WATCHCARE MEMBERSHIP