Membership Application - LBC Management

Application Form

Please fill out all required fields

Secure Connection

Please complete all steps before submitting.

* Required fields

Title

First Name^*

Last Name^*

Email Address^*

Phone Number

Date of Birth

Gender

Marital Status

Occupation

Next of Kin / Emergency Contact

Address Line 1

Address Line 2

Postal Code

Country

City

State/Province

Personal Testimony^*

Please share how you came to faith in Jesus Christ

Why do you want to join this church?

Previous Church Experience

Spiritual Gifts & Service Areas

I have been baptized

I accept and agree to abide by the church constitution and bylaws^*

I accept the guidance and authority of the church leadership^*

I am currently a member of a secret society

Reference 1 - Name^*

Reference 1 - Phone^*

Reference 1 - Relationship^*

e.g., Pastor, Friend, Family

Reference 2 - Name (Optional)

Reference 2 - Phone

Reference 2 - Relationship

Need help? Contact us at lbc@mitoworks.org