Name *

First Name

Last Name

Phone *

(###)

###

####

Membership *

I Affirm Church Membership at AHBC (October 2024)

Yes

We Believe *

I Affirm AHBC's "We Believe"

YES

Five G's *

I Affirm AHBC's "Five G's"

YES

I Have Been Baptized *

I Have Been Baptized

YES

NOT YET