Full Name *

Please use your full name. If you go by a nickname include that with (brackets).

First Name

Last Name

Address *

Use your current address of the residence you are occupying.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Do you regularly attend services at Bethesda? *

Yes

No

Prior to Bethesda, were you a member of another church? *

Yes

No

Do you regularly support Bethesda through tithes and offerings? *

Yes

No

Are you in accord with the doctrine and general position of the Pentecostal Assemblies of Newfoundland and Labrador, through your experience, and as expressed in the Statement of Fundamental and Essential Truths? *

Yes

No

Are you living in harmony with fellow believers at Bethesda? *

Yes

No

Have you read the Statement of Fundamental and Essential Truths? *

Found on pages 2-11 of the Constitution & By-Laws (located above).

Yes

No

Agreement *

It is my desire to become a member of Bethesda Pentecostal Church in St. John's. In making this application, I agree: 1. To subscribe to the doctrines set out in our Statement of Fundamental and Essential Truths, as contained in this Local Assembly Constitution & By-Laws. 2. To be governed by all terms, conditions, and waivers contained in this Local Assembly Constitution & By-Laws. 3. To accept the privileges and responsibilities of Membership.

I agree

I do not agree