Membership information update

After several years, it's time to update information about our church family. We would like to take this opportunity to update that information to ensure its accuracy.

This online form will enable you to easily provide information concerning you, a spouse, other members of your house and any children away at college.

When you're finished, press the "Submit" button at the bottom of this page.

(Need to start over? There's a button for that at the bottom of this page, too.)

THANK YOU FOR TAKING THE TIME TO PROVIDE THIS IMPORTANT INFORMATION!

YOUR NAME:

What is your FUMC membership status:

Professing Member (such as adults who been confirmed or professed their faith)

Baptized Member (such as children who have been baptized but yet to be confirmed or profess their faith)

Constituent (frequently attend but not a member)

Occasional visitor

Your birth date: Your anniversary:

SPOUSE'S NAME:

What is your spouse's FUMC membership status:

Professing member

Baptized member

Constituent (frequently attend but not a member)

Occasional visitor

Spouse's birth date:

HOME STREET ADDRESS:

City: State: ZIP:

PHONE NUMBERS (please include area code):

Home: Work: Ext: Cell:

EMAIL ADDRESSES:

Home: Work:

Which email address do you prefer we use to contact you: Home Work Send to both home and work

Spouse's home: Spouse work:

Which email address does your prefer we use to contact them: Home Work Send to both home and work

Do you wish to receive the weekly newsletter by:

Home email

Work email

Home AND work email

U.S. Mail

OTHER MEMBERS OF YOUR HOUSEHOLD (for students away at college, scroll down to college area):

Name 1: Birth date:

Email: Cell/work phone:

What is their FUMC membership status: Professing member Baptized member Constituent Visitor

Name 2: Birth date:

Email: Cell/work phone:

What is their FUMC membership status: Professing member Baptized member Constituent Visitor

Name 3: Birth date:

Email: Cell/work phone:

What is their FUMC membership status: Professing member Baptized member Constituent Visitor

Name 4: Birth date:

Email: Cell/work phone:

What is their FUMC membership status: Professing member Baptized member Constituent Visitor

Name 5: Birth date:

Email: Cell/work phone:

What is their FUMC membership status: Professing member Baptized member Constituent Visitor

MEMBERS OF YOUR HOUSEHOLD WHO ARE AWAY AT COLLEGE:

College student 1: Birth date:

College email: College_student_1_phone:

Name of college:

Street mailing address:

City State: ZIP:

What is their FUMC membership status: Professing member Baptized member Constituent Visitor

College student 2: Birth date:

College email: College phone:

Name of college:

Street mailing address:

City State: ZIP:

What is their FUMC membership status: Professing member Baptized member Constituent Visitor

College student 3: Birth date:

College email: College phone:

Name of college:

Street mailing address:

City State: ZIP:

What is their FUMC membership status: Professing member Baptized member Constituent Visitor

FAMILY ALTERNATE ADDRESS: (Dates: From to )

Alternate street address:

Alternate city: State: ZIP:

Alternate home phone:

IF YOU NEED TO INCLUDE OTHER INFORMATION, ENTER IT HERE:

PRESS HERE TO SUBMIT THIS FORM: THANK YOU!

Need to start all over? Click here: