E-Church Member

Please fill out this form and click submit.

Name

*

Email

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This address will receive a confirmation email

Phone

*

Address

*

Sex

*

Please select one option.

Female Male

Marital Status

*

Please select one option.

Single Married Divorced Widow

Have you accepted Jesus to be your Lord and Savior?

*

Please select all that apply.

Yes

Have you been baptized?

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Please select one option.

Yes No

Would you like more information on next baptism?

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Please select one option.

Yes No Not at this time

Are you joining Ahop's E-Church?

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Please select one option.

Yes No

Are you currently a member of a church?

*

Please select one option.

Yes No

How did you hear about Ahop?

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Please select one option.

Friend/Family Social Media Flyer

Description

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