Submit a membership application

This form will be submitted to the executive as part of your membership application process.

Your name *

Email address *

Phone number *

Address *

Birthdate *

Marital status *

Anniversary date

Photo

We need a photo of you for our church database.

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Have you been a member of another church?

Name of church you were last a member at

Briefly describe your life before your salvation *

Briefly describe the circumstance of your salvation *

Briefly articulate the gospel you have believed *

Briefly describe your life after salvation *

Have you been baptised, by full immersion, as a believer? *

I give permission for Benoni Baptist Church to use my information *

Your information is only made available to staff and elders, and those who may need it to perform a ministry function.

I have read, accepted, and will adhere to the statement of belief *

I have read, accepted, and will adhere to the covenant *

I accept, and will adhere to the constitution *