info@allnationsc.org

9130 Balileywick Rd. Raleigh NC 27615

Membership

I am a born-again believer in the Lord and Savior Jesus Christ

I have been immersed in the name of the Father, Son, and Holy Spirit

Church Name/Pastor:

If you have previously been baptized, please include the name of the pastor

City/State/Country:

Church information where you were baptized:

In order to become a registered member of All Nations Church, Raleigh, NC, I understand I will need to attend a membership class. Yes, please initial here

Members understand that at All Nations Church we submit to the authority of God, always.

Name

Digital Signature (print/type)

Date

Digital Signature (print/type)

Church: (Previous attended: 1)

City:

State/Country:

Pastor:

Church phone number:

Attn:

to:

Dates attended from:

Church: (Previous attended: 2)

City:

State/Country:

Pastor:

Church phone number:

Attn:

Dates attended from:

to:

Church: (Previous attended: 3)

City:

State/Country:

Pastor:

Church phone number:

Attn:

Dates attended from:

to:

Email