Member Update Form

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Please fill out the following form
in order to update your membership information

First Name & Middle Name

Email

Last Name

Date of Birth

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Preferred Phone No.

Date Joined

Joined How

Baptism

Christian Experience

Watch Care

Letter of Transfer

Restoration/Rededication

Please List Family Members Who are Also Members

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1-803-786-4017 - Church Phone

1-803-786-9000 - Pastor's Phone

1-803-333-0505 - Fax

5326 Ridgeway Street

Columbia, SC 29203

Thanks for submitting!

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