Benson Baptist Church Membership Form

This form is to capture the information you've already shared on a Sunday morning in worship. It is not intended as a second request for membership!

Date Membership was Requested

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

My Mailing Address is Different from Above

Yes

Mailing Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Birthdate

Phone Number

I have been baptized

Yes

Form of Baptism

Immersion

Christening (Benson Baptist accepts this as a valid form of baptism)

Membership Request

Choose 'yes' or 'no.' If you choose 'no' for any answer below, more answers will appear.

I am making my first public profession of faith in Christ as my personal Savior and Lord, and I am requesting baptism by immersion (all other baptisms are accepted as your baptism) and membership.

Yes

I want to transfer my membership from another Christian congregation

Yes

Congregation Name

Congregation Address

Apartment, suite, etc.

City

State

Zip/Postal Code

I want to become a member of Benson Baptist Church. Since my former church no longer exists or does not provide transfer letters, I am requesting that my statement of faith replace an official letter.

Yes

I am a member of another Church. I want to be a Watchcare member of Benson Baptist Church. I will inform Benson Baptist Church when the Watchcare status is no longer needed.

Yes

Name of the Church where you will remain a member while under watchcare

Today's Date

Signature