Transfer of Membership

Company

This field is for validation purposes and should be left unchanged.

Name*

First Last

Date of Birth

Email*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Home Church*

Church Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Church Clerk*

First Last

Church Clerk's Email*

Church Clerk's Phone*

Rey Biton, Jr.
Church Clerk
Phone: 780-271-1835
Email: edfilclerk2024@gmail.com