Membership_Info_Card by keralaguest

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									                                                                 Membership #______                                                                       Membership #______


Alexandria________                   PSJBC Info Card           Upper Marlboro_________   Alexandria________                     PSJBC Info Card         Upper Marlboro_________

Date_________________________                          DOB: _______________________      Date_________________________                          DOB: _______________________

________________________________________________________________________                 ________________________________________________________________________
Prefix (Mr./Mrs./Ms/Miss.)    (Last, First)                                              Prefix (Mr./Mrs./Ms/Miss.)    (Last, First)
________________________________________________________________________                 ________________________________________________________________________
    (Street Address)                                          (Apt. #)                       (Street Address)                                          (Apt. #)
________________________________________________________________________                 ________________________________________________________________________
                           (City, State, Zip Code)                                                                  (City, State, Zip Code)

Home Phone:      ____________________        Cell Phone:       ____________________      Home Phone:      ____________________        Cell Phone:       ____________________

Work Phone:      ____________________ E-mail                   ____________________      Work Phone:      ____________________        E-mail:           ____________________

_______Baptism              ________Christian Experience          _________Restoration   _______Baptism            ________Christian Experience          ________Restoration

_______Attended New Members Interest Meeting           _____Signed Covenant Agreement    _______Attended New Members Interest Meeting           _____Signed Covenant Agreement

                                 Pastor Phillip L. Pointer, Sr.                                                           Pastor Phillip L. Pointer, Sr.
                        901 North Alfred Street, Alexandria, VA 22314                                            901 North Alfred Street, Alexandria, VA 22314
                     5607 Old Crain Highway, Upper Marlboro, MD 20772                                         5607 Old Crain Highway, Upper Marlboro, MD 20772

________________________________________________________________________
Prefix (Mr./Mrs./Ms/Miss.)    (Last, First)       Membership #_________                                                                                  Membership #_______
                                                                                                                      Pastor Phillip L. Pointer, Sr.
________________________________________________________________________
                                                                                                             901 North Alfred Street, Alexandria, VA 22314
     (Street Address)                                          (Apt. #)
                                                                                                          5607 Old Crain Highway, Upper Marlboro, MD 20772
Alexandria________            PSJBC Info Card     Upper Marlboro_________
________________________________________________________________________                 Alexandria________                  PSJBC Info Card          Upper Marlboro_________
                           (City, State, Zip Code)
Date_________________________                    DOB: _______________________            Date_________________________                          DOB: _______________________

________________________________________________________________________
Home Phone:       ____________________ Cell Phone: ____________________                  ________________________________________________________________________
Prefix (Mr./Mrs./Ms/Miss.)       (Last, First)                                           Prefix (Mr./Mrs./Ms/Miss.)    (Last, First)
Work Phone:     ____________________ Other:       ____________________
________________________________________________________________________                 ________________________________________________________________________
    (Street Address)                                          (Apt. #)                       (Street Address)                                          (Apt. #)
________________________________________________________________________
_______Baptism         _________Christian Experience _________Restoration                ________________________________________________________________________
                           (City, State, Zip Code)                                                                  (City, State, Zip Code)

Home Phone:                   Pastor Phillip Cell Phone:
                 ____________________ L. Pointer, Sr.         ____________________       Home Phone:      ____________________        Cell Phone:       ____________________
                     901 North Alfred Street, Alexandria, VA 22314
Work Phone:       5607 Old Crain Highway, E-mail:
                 ____________________ Upper Marlboro, MD 20772____________________       Work Phone:      ____________________        E-mail:           ____________________

_______Baptism              ________Christian Experience          _________Restoration   _______Baptism            _________Christian Experience        _________Restoration

_______Attended New Members Interest Meeting           _____Signed Covenant Agreement    _______Attended New Members Interest Meeting           _____Signed Covenant Agreement

                                 Pastor Phillip L. Pointer, Sr.                                                           Pastor Phillip L. Pointer, Sr.
                        901 North Alfred Street, Alexandria, VA 22314                                            901 North Alfred Street, Alexandria, VA 22314
                     5607 Old Crain Highway, Upper Marlboro, MD 20772                                         5607 Old Crain Highway, Upper Marlboro, MD 20772

								
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