Membership Update

In order to receive regular announcements, updates, and other Ministry related information, it is imperative that we have accurate contact information on file for each member. For your convenience, we are offering two options to submit this information.

OPTION #1

Request a form by emailing contact@therestorationoflife.com. You may submit the form via FAX to 770.472.7188 or US MAIL to: P O BOX 699 Jonesboro, GA. 30237

OPTION#2

Complete the Membership Update Form below and it will be forwarded to the Administrative Office. [This requires a passcode]

Any questions regarding this information, please contact the Administrative Office at 770.472.4445 or send your inquiries to contact@therestorationoflife.com.

Enter Passcode*

Enter passcode to update your membership information online.

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone

Area CodePhone Number

Work/Cell Phone

Area CodePhone Number

E-mail

Birthday

MonthDayYear

Spouse Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone

Area CodePhone Number

Work/Cell Phone

Area CodePhone Number

E-mail

Birthday

MonthDayYear

Child's Name

First NameLast Name

Child's Name

First NameLast Name

Child's Name

First NameLast Name

Child's Name

First NameLast Name

Child's Name

First NameLast Name

Enter the message as it's shown*