Revelation Missionary Baptist Church
							MEMBERSHIP UPDATE FORM

PLEASE PRINT

DATE: ______________________

Name ___________________________________________________________________________________________________________________________________
              (LAST)                                   (FIRST)                                                         (MIDDLE)

Address ________________________________________________________________________________________________________________

City _____________________________               State _________________________________               Zip Code ________________________

Date of Birth _____________________________________    Sex ___________________________        Marital Status ___________________________

Telephone Number ________________________________________________          Cell Phone __________________________________________________

Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration _________________


Occupation _________________________________________________________________ Work Number _______________________________________________


Name of Spouse _________________________________________________________________________________________________________________________
                        (LAST)                          (FIRST)                                                        (MIDDLE)

Date of Birth ________________________________________    Sex _________________________        Cell  ____________________________________ 

Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration __________________


Occupation ___________________________________________________ Work Number _______________________________________________


Please list below each child that is a member and reside in your home.

01. Name ________________________________________________________________ Date of Birth ______________________  Sex ________

Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration __________________


02. Name ________________________________________________________________ Date of Birth ______________________  Sex ________

Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration __________________


03. Name ________________________________________________________________ Date of Birth ______________________  Sex ________
Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration __________________


04. Name ________________________________________________________________ Date of Birth ______________________  Sex ________
Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration __________________


05. Name ________________________________________________________________ Date of Birth ______________________  Sex ________

Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration __________________


06. Name ________________________________________________________________ Date of Birth ______________________  Sex ________

Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration __________________


07. Name ________________________________________________________________ Date of Birth ______________________  Sex ________
Joined By:        Baptism ______________     Christian Experience_______________  Letter  _______________  Restoration __________________


                         
                            FOR OFFICE USE ONLY (Please check when computer processed) ____ date __________________