GRACE LUTHERAN CHURCH

300 S. Grant St. Fairmont, MN 56031

Phone: (507) 238-4418


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The information that you give us is to help GLC with our church data base.

MEMBERSHIP INFORMATION FORM

PLEASE NOTE: Your personal information, telephone numbers and email address will be used solely for Grace Lutheran Church and will not be sold or distributed outside the organization.
By checking a "private box" that information will not be distributed outside of GLC staff
Date Submitted:
  Membership Status
Name (first, middle last):
Maiden name:
Nickname (optional) :
Address :
City, State, Zip :
Home Phone :
Please keep private
Cell Phone :
 Please keep private
Email Address :
 Please keep private
Send the Ways of Grace by email (when available):
Place of Employment:
Work Phone :
 Please keep private
Birth Date :
Place of Birth :
Baptismal Date :
Place of Baptism :
First Communion Date :
Place of First Communion :
Confirmed Date :
Place of Confirmation :
I desire to be baptized
I have been baptized and wish to become a member of Grace
I wish to transfer my current membership from :
Name of Church :
Church Address :
Church City, State, Zip :
Synod / Denomination :
Names of children :
Marital Status
If engaged, planned Wedding Date:
If married, married Date:

    

 


Copyright © 2008 by Grace Lutheran Church Fairmont, MN .

All rights reserved. Information in this document is subject to change without notice.

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