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Peace Evangelical Lutheran Church of South Haven
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(First Middle Last)
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Address (
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Home Phone
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E-mail Address
Birthdate
Birth Place
Parents Name
If new member is a child, please specify the name of their parents or guardians.
Baptized
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Date of Baptism
Confirmed?
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Confirmation Date
Place of Confirmation
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Name of Spouse/Partner
Wedding Date
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(City and State)
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May we have your permission to list your birthdate and/or wedding anniversary (without the year) in our calendar and publications?
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