New Hope Christian Ministries

First Name * Last Name * Email * Phone * Address * Birthday Wedding anniversary The reason I want to join * Salvation (I have never prayed to receive Christ and become a Christian)
Rededication (I am a Christian, but I needed to rededicate myself to the lord)
Membership (I want to be a member of New Hope)
I want to be baptized
To receive prayer
Other reasons for joining Male or Female * Male
Female
Spouse's birthday Have you been baptized? Yes
No

*	Mobile Number:
	First Name:
	Last Name:
	Gender:
	Email:
	Zip Code:
	Date of Birth:

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Youth Church

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