WORD INTERNATIONAL MINISTRIES DUMAGUETE

MEMBERSHIP INFORMATION
NAME: SEX:

ADDRESS:

BIRTHDAY: WEDDING ANNIVERSARY (if applicable):

AGE: BLOOD TYPE: *(in case of a needed blood donation we can call you)

LANDLINE #:
HOW LONG HAVE YOU BEEN IN THIS CHURCH
CELLPHONE #:
WITH THIS CHURCH?
FACEBOOK: EMAIL:

# OF DEPENDENTS: SPOUSE:

PRODUCTS YOU SELL or SERVICES YOU OFFER:

* We will include this information in the church directory

WORD INTERNATIONAL MINISTRIES DUMAGUETE

MEMBERSHIPINFORMATION
NAME: SEX:

ADDRESS:

BIRTHDAY: WEDDING ANNIVERSARY (if applicable):

AGE: BLOOD TYPE: *(in case of a needed blood donation we can call you)

LANDLINE #:
HOW LONG HAVE YOU BEEN IN THIS CHURCH
CELLPHONE #:
WITH THIS CHURCH?
FACEBOOK: EMAIL:

# OF DEPENDENTS: SPOUSE:

WORD INTERNATIONAL MINISTRIES DUMAGUETE

MEMBERSHIP INFORMATION
NAME: SEX:
ADDRESS:
BIRTHDAY: WEDDING ANNIVERSARY (if applicable):
AGE: BLOOD TYPE: *(in case of a needed blood donation we can call you)

LANDLINE #:
HOW LONG HAVE YOU BEEN IN THIS CHURCH
CELLPHONE #:
FACEBOOK: EMAIL: WITH THIS CHURCH?
# OF DEPENDENTS: SPOUSE:
PRODUCTS YOU SELL or SERVICES YOU OFFER:

* We will include this information in the church directory