Milner Baptist Church

NAME

SPOUSE

MAILING ADDRESSS-include city state and zip code

PHYSICAL ADDRESS-if different from mailing address

Click to enter an email address

Click to enter phone number

GUEST

FIRST TIME
SECOND TIME

ARE YOU A CHURCH MEMBER?

YES
NO

NAME OF CHURCH AND CITY/STATE IF YOU ARE A MEMBER

LIST ANY CHILDREN IN YOUR HOUSEHOLD WITH AGES

I AM A GUEST OF:

ARE YOU NEW IN THE COMMUNITY?

PRAYER REQUESTS:

WOULD YOU LIKE A VISIT?

WOULD YOU LIKE MORE INFORMATION ABOUT THE CHURCH?