MEMBER REGISTRATION FORM
Welcome to our ministry where the spirit of the just are made perfect
FILL IN YOUR DETAILS CORRECTLY
BECOME A MEMBER
GOD IS IN NEED OF YOUR BEING
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NAME:
ADDRESS (House no, Street, Bus stop, Area, LGA, State, Country):
Age Group:
Select One
0 - 10
11 - 20
21 - 30
31 - 40
41 - 50
above 50
E-mail:
PHONE:
PHONE 2:
Gender:
Select One
Male
Female
PRESENT/PREVIOUS MINISTRY:
SPECIAL PRAYER REQUEST:
COMMENT:
SUBMIT DATA NOW
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