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Membership Application

Fill out this form to begin your membership process at Bethany Road Bible Church!

Your name *

Last name

Email address *

Phone number *

Phone type

Marital Status

Optional

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Household members

Optional

How long have you been attending Bethany Road Bible Church? *

How did you hear about Bethany Road Bible Church? *

How has attending Bethany Road Bible Church impacted your life? *

Why would like to become a Member at Bethany Road Bible Church? *

Have you been baptized since becoming a follower of Christ? *

I have already been baptized since becoming a follower of Jesus Christ.

I have not been baptized since becoming a follower of Jesus Christ. Please contact me about baptism.

Have you attended our Church 101 class? *

Yes

Previous Church Membership *

I will send a copy of my letter of transfer from my previous church

I have not been a member of another church

Other

My testimony of personal faith in Jesus Christ *

In order to become a member of Bethany Road Bible Church, you need to have a clear testimony of personal faith in Jesus Christ. Please consider your life before Christ, how you came to trust Christ as your savior, and one or two ways that Christ has changed your life.

Church Doctrine *

Doctrinal Statement: https://bethanyroad.org/doctrinal-statement-1

I have read the Doctrinal Statement of Bethany Road Bible Church.

I am in agreement with the Doctrinal Statement of Bethany Road Bible Church.

I have questions about the Church Doctrine

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Bethany Road Bible Church
info@bethanyroad.org
815-756-9020

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