**I'M IN! Membership Info Form
Please fill out this form and click submit.
Important Details
WE'RE EXCITED ABOUT YOURÂ INTERESTÂ IN JOINING FLEWELLYN!! This information really helps us to fully connect with you
Name
*
Email
*
This address will receive a confirmation email
Phone (mobile preferred)
*
Birthday
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
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NS
NT
NU
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OK
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PA
PE
PR
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QC
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SC
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TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
How do you prefer to be contacted?
*
Please select all that apply.
Text
Email
Phone call
Spouse Info (if applicable): Name, Cell Phone, Email, Birthday, Contact Method
Child Info (if applicable): Names, numbers, Birthdays, etc. Which ones are coming for membership (having been saved/baptized)?
Membership
Date Joined/Joining:
I/we joined by:
*
Please select all that apply.
transferring membership from another baptist church
being baptized at Flewellyn
statement of my faith in Jesus
Put us in, coach! We're interested in serving... (check all that apply)
*
Please select all that apply.
Greeting / Parking Team
Teaching a class
Worship / Media Team
Kid's Ministry
Teen/Students
Prayer Ministry
Other ways... (contact me)
I/we are already in a class or group:
*
Please select one option.
Yes
No
I'd like more info!
Lastly, would you be willing to sit down with Pastor for a short video interview about your faith-journey?
*
Please select all that apply.
Yes, I'm nervous at the thought - but willing
Yes, I'd be willing to even share it if it would help others
No, that's way too scary for me right now
Submit
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