About us 

Membership Application

 

My commitment to Christ

I declare that I have turned away from my sins and put my faith in Jesus Christ as my Lord, my Saviour and my God.  I have been baptized as a believer in the name of Jesus Christ. (Acts 2.38; 4.12; John 20.28-29)

 

 

Name : __________________________________________________________________

Address:  _________________________________________________________________

 _________________________________________________________________________

 _________________________________________________________________________

 

Telephone:  _______________________________________________________________

email:  ___________________________________________________________________

 

Children under 18:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

 

Signed:  __________________________________________________________________

 

Please click "Printable version", print off and complete the form, and return it to Chris Clay.

This information will be stored on a computer.


Peter Lavers, 12/01/2005