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Membership Request Form

Pastor Conley, (check one)
I want to become a member of Mount Sinai today.
I want to discuss membership with a commitment counselor before I join.

First Name:
Middle Initial:
Last Name:
eMail:

Age Range
5-12 years (child)  13-17 years (youth)  18 & older (adult)

Print and complete this form off-line and give it to the pastor, any minister, deacon or usher.

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