Church Membership Form

I Want To Join The Upper Room COGIC Family

Complete the Church Membership Interest Form and a member of our new members team will be in touch with you!
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Where are you from?
E-mail*
example@example.com
We'd love to hear from you! Please share how you found out about the Upper Room Church of God in Christ and what makes you interested in joining our ministry.
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I Want To Join The Upper Room COGIC Family