First United Methodist Church - Hurst


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Membership Update

Please fill out one form per family.

First Name	Last Name	Prefix

Spouse First Name	Spouse Last Name	Prefix

Sunday School Class:

Street Address:

City:

State:

Zip:

Home Phone:

Your Information:

Cell Phone:

Birthday (mm/dd/yyyy):

E-mail:

Employer:

Work Phone:

Spouse Information:

Cell Phone:

Birthday (mm/dd/yyyy):

E-mail:

Employer:

Work Phone:

Children:

Child 1 Name:

Birthday (mm/dd/yyyy):

E-mail:

Child 2 Name:

Birthday (mm/dd/yyyy):

E-mail:

Child 3 Name:

Birthday (mm/dd/yyyy):

E-mail:

Comments:

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521 W. Pipeline Road • P.O. Box 1461 • Hurst, TX 76053 • 817.282.7384
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