Join London Prayer Fellowship

Blank Form (#3)

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

1. Family Member's Name

2. Family Member's Name

3. Family Member's Name

4. Family Member's Name

5. Family Member's Name

6. Family Member's Name

7. Family Member's Name

8. Family Member's Name

1. Baptism Date

2. Baptism Date

3. Baptism Date

4. Baptism Date

5. Baptism Date

6. Baptism Date

7. Baptism Date

8. Baptism Date

Primary Number

Secondary Number

Baptism Date

Membership Fee: $10.00 Each For Every Adult 18 & Above

I have read and understood the Membership criteria. (Read the document before you submit the membership form)
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Membership Form