የቅድስት ቤተክርስቲያን አባልነት

This Is For:
      New Membership        Renwal       Address Change  

    Date: 

    First Name         Last Name
   
    Martial Status:
        Marrried      Single    Widowed
   
    Spous Name

    Address 
                  
    City     State    Zip

    Home Telephone #     Work Telephone #

    Email

                                                Yearly Membership Donation (Fee)
    For Family                $240.00  
    Single/Widowed        $150.00  

            Comment:
                    

                                   

                                Thank you and May God Bless you for filling out this form.
                         The Church staff will contact you for your Membership Donation (fee)