Print and fill out the form and turn  into church office.
FILL OUT FORM,USE SECURITY CODE AND SUBMIT.
If you have questions, or would like more information, please leave your name and contact information.

First name:
Last name:
SingleMarriedDivorcedWidowedSeparate
Date of Birth
Address:
City:
State:
Email:
Zip code:
ARE YOU A RESGISTERED VOTER?
ARE YOU BAPTIZED?
Home Phone
Cell Phone
Work Phone
Spouse Name
Date of Birth
Spouse E Mail:
Date of Anniversary
ARE YOU BAPTIZED?
ARE YOU A REGISTERED VOTER?
Plese Give Names and D.O. B. of each Child and if the child have been baptized.
IF CHILD(CHILDREN) ARE OVER 18 ARE THEY REGISTERED VOTERS
Security code:
 *
Do not enter anything in this field:

* indicates a required field
 
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              Bethel  African Methodist Episcopal Church
               225 North Swiss Street, San Antonio | Texas 78202
              (210) 227-2696 (Church Office)       

      (210) 227-5474 (Church Fax)