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Revelation Missionary Baptist Church
RMBC Adult and Young Adult laymen Membership Form
RMBC Adult and Young Adult Laymen Membership Form
page 1 of 1
Name
required
First Name
Last Name
Address
Address
Address Line 2
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Marshall Islands
Micronesia
Northern Marianas
Palau
Puerto Rico
Trust Territories
Virgin Islands
Armed Forces(AA)
Armed Forces(AE)
Armed Forces(AP)
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territory
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
City
State
Zip Code
Status
select one
Select all that apply
Adult Laymen
Young Adult Laymen (men under 35 yrs of age)
Email
required
Cell Phone
required
Home Phone
required
Married
select one
Select all that apply
Yes
No
Anniversary Date (if applicable)
required
Ministry Interest (Check at least one)
select one
Select all that apply
Addiction Aftercare
Church/Home Improvement
Crusaders
Disaster Response Team
Evangelism
Jail and Prison
Partner in Education
Royal Ambassadors
Sick and Shut-in
Youth Center
Skills (Check all that apply
select one
Select all that apply
Carpentry
Electrical
Plumbing
Painting
CDL Driver
Cooking
Counseling
Spreadsheet
Word Processing
Database
Typing
Website Development
Podcasting
Budgeting
Leadership Development
Public Speaking
* required
