Application For MembershipTransfer
Application For MembershipTransfer
Lewis Street, PO Box 1505, Savanna la Mar, Westmoreland, Jamaica W.I. Telephone/Fax: 955-2686 Email: [email protected]
SEX:
MALE
FEMALE
COUNTRY OF BIRTH:
JAMAICA
OTHER
(Name of Country)
NAME:
(Circle
DATE OF BIRTH: Month ADDRESS:
one)
Last
Initial
TELEPHONE:
First
IT IS MY DESIRE TO BECOME A MEMBER OF THE SEVENTH-DAY ADVENTIST CHURCH, SAVANNA LA MAR AND THAT MY MEMBERSHIP BE TRANSFERRED FROM:
NAME OF PASTOR:
APPLICANTS SIGNATURE
1st Request:
DATE RECOMMENDATION RECEIVED: DATE VOTED BY CHURCH: DATE ACCEPTANCE SENT:
2nd Request:
3rd Request:
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