MEMBERSHIP FORM I am filling out this form because I am... * A new member. A current FUMC member and updating information. Attending Coffee with the Pastor Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Primary Phone * (###) ### #### Type of Phone * Home Work Mobile If this is a mobile, can we text you? Yes No Secondary Phone (###) ### #### Type of Phone Home Work Mobile If this is a mobile, can we text you? Yes No Gender * Male Female Birthday * MM DD YYYY Place of Employment/Occupation Work Phone (###) ### #### Have you been Baptized? * Yes No Are you a member of another church? * Yes No Thank you for filling out First UMC - Lufkin’s Membership Form
