Application For Church Partnership

CONTACT
If spouse is also becoming a member, please fill out a separate form.
Address *
Address
Phone # *
Phone #
Alternate Phone #
Alternate Phone #
STATEMENT OF FAITH
Have you committed your life to Christ and do you trust Him for your salvation? *
When
When
Have you been baptized by immersion after you gave your life to Christ? *
When
When
Have you attended a Harvest Assembly Encounter? *
When
When
Are you currently involved in a Linc Group? *
SIGNATURE
Please print your name as you would like it to appear on the Membership Certificate
Today's Date *
Today's Date