Camarillo Seventh-day Adventist Church

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Camarillo SDA Membership Join Form

Name

Date

Address

Home Church

What info from the church would you like Visitor for the first time New in the community I would like to give my life to Jesus Would like a pastoral call or visit Info regarding Linda Vista Elementary Info for Newbury Park Adventist Academy Prayer request Would like to join the Camarillo Church

Name

Middle

Maiden Name

Spouse

Address

Home Phone

Cell Phone

Martial Status Single Married Divorced Widowed

I am requesting to join the Camarillo Church

Checkboxes By Baptism By profession of faith By transfer from (complete below)

Today's Date

Please request transfer(s) from

Church: Church Address:

Church information

Name(s) of Baptized member(s) Date of Birth

Please enter Names and Date of Birth below