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Streaming Faith

The House of the Lord
1650 Diagonal Road,
Akron OH, 44320
(330) 864-9073

Membership Update

Submitted by admin on Sun, 11/23/2008 - 14:59

We have provided this form to help our Ministry and Administrative team stay up to date on the dynamically growing family of The House of The Lord. We encourage you to include your phone number and e-mail address so that we can serve you better through any necessary correspondence.

Please remember to resubmit this form when your personal or family information changes.

All personal information provided to The House of The Lord will remain completely confidential.

Contact Information

Please provide the following

Name: *

Email: *

Address: *

City: *

State: *

Zip: *

Home Phone:

Work Phone:

Personal Information

Please provide the following

Birthdate:

Age:

Gender:

Male

Female

Race:

{optional}

Spouse:

{if married}

When did you join THOTL:

Family Dynamics

Please enter your child's/children's information.
If you have more than 4 children...God Bless You (smile).
Please list the appropriate information in the "additional information" space below.

Number of Children:

Child 1

Name:

Birthdate:

Baptized:

Yes

No

Child 2

Name:

Birthdate:

Baptized:

Yes

No

Child 3

Name:

Birthdate:

Baptized:

Yes

No

Child 4

Name:

Birthdate:

Baptized:

Yes

No

Additional Information, Comments, Suggestions or Questions.:

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Akron, Ohio

Clear sky
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Wind: Calm
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Rel. Humidity: 81 %
Visibility: 7 mi

Reported on:
Thu, 03/11/2010 - 01:54

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