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Membership Transfer Request
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Please use this form to initiate a transfer of membership to the Village Seventh-day Adventist Church.

* Required Information 
 

Your Name & Contact Information
First * 
Middle   
Last * 
Birthdate   
(mm/dd/yyyy)  
   
Address Line 1   
Address Line 2   
City   
State   
Zip Code   
   
Phone Number * 
EMail    

Your Current Church Membership

Your Membership Name
(if different than above)        

Church Name * 
City * 
State * 
Country   
   
Phone Number * 

Activities Or Ministries You Would Like To Join Or Participate In
     

Additional Information
     

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