MEMBER UPDATE

Name *

First Name

Last Name

Birthday

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile Phone

(###)

###

####

Spouse/Significant other Name

First Name

Last Name

Spouse/Significant other Mobile

(###)

###

####

Anniversary

MM

DD

YYYY

Status *

Wish to speak to someone about becoming a member of Hiss Church

Temporarily out of area

Moved from the area

Could use prayer/assistance

Do not attend due to transportation difficulties

Due to the pandemic, I have been watching worship services online and I intend to attend church services soon

Please remove my membership and remove me from all communications

Please add me to the online member directory and send me more information about how to use it

Attending another church, please transfer my membership

Wish to transfer my membership to Hiss Church