New Members Form - Mt. Pleasant Baptist Church

MOUNT PLEASANT BAPTIST CHURCH 215 RHODE ISLAND AVENUE, NW WASHINGTON, DC 20001-1824 (202-332-5748)

NEW MEMBER INFORMATION FORM

Date Joined

Date of Birth

Place of Birth:

Name

Address

Apt, suite, etc.

Country

City

State

Zip code

Ph(H)

Cell

Baptism (Date)

Checkbox

Christian Experience

Reinstate

By Letter from Church/Pastor

(Has been baptized as a Baptist and coming from another Baptist Church they have been active for the last year)

Mt. Pleasant Baptist Church – DC