MEMBERSHIP CHANGE FORMPlease complete this form if you have a name, address, Email, or phone number change Please select * Mr. Mrs. Ms. Youth (17 or under) Name * First Name Last Name Email * Date of Birth MM DD YYYY Address 1 * Address 1 Address 2 City State/Province Zip/Postal Code Country Home # (###) ### #### Cell # (###) ### #### Employer Marital Status Single Divorced Widow/Widower Married Date of Marriage MM DD YYYY Spouse's First Name I would like to have my wedding anniversary published in the church bulletin each year? Yes No Thank you!
