GREATER EXPERIENCE WORSHIP CENTER Membership Form
719 North Shipley Street. Wilmington, DE 19801
Name
First Name
Last Name
Gender
Male
Female
Other
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Former Church
Your Former Pastor
Spouse Name
First Name
Last Name
Child's Name
First Name
Last Name
Child's Name
First Name
Last Name
Child's Name
First Name
Last Name
Child's Name
First Name
Last Name
Child's Name
First Name
Last Name
Have you been baptized before?
Yes
No
When were you baptized?
What are some of your talents and/or giftings?
Are you a born again Christian?
Yes
No
Could you share with us a short testimony of your salvation?
Submit
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