Name (Last, First, M. I.)


Title (Mr., Mrs., Ms. other)


Organization (workplace)


Home Street Address


Address (continued)


City


State/Province


Zip/Postal Code


County (Franklin; etc.)


Work Phone


Home Phone


FAX Phone


Cell Phone


E-mail Address


Your Web Site - Address 


Name


Date of Birth


Name


Date of Birth


Gender

    Male                    Female

Please tell us, are you:

If  married, please tell us about your spouse:

If you have children, please list their names and ages:

Are you a:

Guardian (of a minor child or an adult) or  a                                                    .  foster parent

If you are, please list their name(s) and age(s)

In a brief paragraph, please tell us about your occupation or career

Please tell us about any skills you would like to share with your Friendship members:

Please review our Friendship Directory, Handbook, and Web site (http:\\www.fmbcoh.org) and list any Ministries, Services, and/or Church Directory you will participate in (Ushering; Teaching; etc.):

Now, please enter any questions, comments, or concerns you wish to add:

Please provide the following contact information:

Married Single  Widowed Divorced

This form is intended to provide information that will help us to know and better serve all members of Friendship Missionary Baptist Church. This information will not be given out to sources outside of the church, and will serve to provide only general information about the Friendship members.

Author:  Webmaster, fmbcoh.org  Copyright     2004 [fmbcoh.org].  All rights reserved.         . Revised: March 26, 2011


Please tell us about  yourself:

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