New Members Form

Who will be applying for membership today? (check all that apply)*

Person completing form information*

First Name	Last Name	Birthdate	Email	Phone

Have you accepted Jesus Christ as Lord and Savior?*

Do you desire to be baptized?

Spouse (if married)

Please enter spouse information if joining with you.

First Name	Last Name	Birthdate	Email	Phone

Have you accepted Jesus Christ as Lord and Savior?

Do you desire to be baptized?

List other family members joining Strong Tower Ministries today.

Click plus (+) sign to add multiple children.

First Name	Last Name	Birthdate

Address*

Street Address Address Line 2 City State ZIP Code

Have you ever had a previous membership with another church? If so, please list.*

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