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BECOME AN E-MEMBERadmin2025-11-05T15:06:42-05:00

Become an E-Member

Thank you for joining Abundant Life Church of Deliverance, International as an E-Member.

Someone from our Member Services Team will connect with you soon.

Today's Date *

Your Name *

First

Last

Date of Birth *

Current Address *

Address Line 1

City

State

Zip Code

Is this address different than your mailing address? *

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No

Phone Number *

Email *

Spouse Name

First

Last

If spouse is a member or will be joining, enter information here. Leave blank if not applicable.

Spouse Phone Number

If spouse will be joining, enter information here. Leave blank if not applicable.

Spouse Email

If spouse will be joining, enter information here. Leave blank if not applicable.

Please List Names & Birthdate of Children 18 & Under

Emergency Contact Person *

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Last

Emergency Contact Relationship *

Emergency Contact Phone Number *

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