New Piney Grove Missionary Baptist Church
Monday, September 06, 2010
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Update Your Membership Information
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Update Your Membership Information
Please help us keep our records up-to-date by keeping your membership information current.
Be sure to fill out the NPG Membership Information Intake Sheet below in its entirety
and hit submit when completed
.
Your Name:
Birth Date:
Spouse Name:
Is your spouse a member of NPG?
Yes
No
Birth Date :
Street Address:
City:
State:
Zip:
E-mail Address:
Home Phone:
Mobile Phone:
Talent / Special Interest:
Occupation:
Employer:
Are you currently serving or have you served in the military?
No
Yes
Which branch?
Army
Navy
Air Force
Marines
Coast Guard
If yes, what period - FROM what year:
TO what year:
Do you regularly attend bible Study?
No
Yes
If you attend NPG bible study please check which session you most regularly attend (please check all that apply):
Wednesday Evening
Thursday Noonday
Sunday Morning
I am currently an active member of the following ministries:
I am interest in joining the following ministry:
Please list your children 17 and under:
Child Name (#1):
Birth Date:
School Grade:
1
2
3
4
5
6
7
8
9
10
11
12
Child Name (#2):
Birth Date:
School Grade:
1
2
3
4
5
6
7
8
9
10
11
12
Child Name (#3):
Birth Date:
School Grade:
1
2
3
4
5
6
7
8
9
10
11
12
Do you own your own business?
Yes
No
Business Name:
Street Address:
City:
State:
Zip:
E-mail Address:
Website:
Business Phone:
Business Mobile Phone:
Would you like for your business to be posted on the NPG website?
Yes
No
Please provide a brief description of the products/services your business provides.