Language
English (US)
Our Saviour's Lutheran Church
1720 Harris Ave.
Bellingham, WA 98225
360-733-6749
Date of Ceremony
*
/
Month
/
Day
Year
Date
Name
*
Address
*
Home Phone
Cell Phone
*
E mail Address
*
example@example.com
Received by
Baptism
Other Denomination
Other
Transfer: Have you sent for a letter of transfer from your last church?
Yes
No
N/A
Birth Date
*
/
Month
/
Day
Year
Please specify below if you do not want this added to our birthday calendar.
Birth Place
Baptism Date
/
Month
/
Day
Year
Date
Baptism Place
Marriage Date
/
Month
/
Day
Year
Date
Marriage Place
Student or Occupation
Subscribe
The Call eNewsletter
Is it okay to include you in our directory?
*
Please Select
Yes, include everything in the directory.
Yes, but please omit some info (see below)
No, thank you.
If no objections, your name. address, phone and email will be included in the directory.
Is there any information above you would NOT like published?
*
If not applicable, type "NA"
Preview PDF
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform