Name
First Name
Last Name
Email
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Phone Number
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Address
Street Address
Street Address Line 2
City
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Postal / Zip Code
How are you joining?
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Baptism
Christian Experience
Letter
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How did you hear about Antioch Baptist Church?
Describe how you were first introduced to Antioch Baptist Church of Cleveland.
Other Comments and/or Questions for the Deacons:
Signature
This validates that you wish to become a member of the Antioch Baptist Church of Cleveland
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