English Membership Application

Please complete this form and then click submit.

Name

*

Chinese Name (中文名字)

Gender

*

Please select one option.

Female Male

Birthdate

*

Birth Location

*

Address

*

Email

*

Phone

*

Marital Status

*

Please select one option.

Single Married Divorced Widow(er)

Languages Spoken

*

Congregation

*

Please select all that apply.

Cantonese (粵語堂) English Mandarin (中文堂)

Baptism (Date, Place, Pastor)

*

Please attach your testimony.

*

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Previous affiliations with other churches, if any:

*

Two members of this church who will recommend you:

*

Are you willing to accept the CCCI By-Laws?

*

Please select one option.

Yes No

Are you willing to support CCCI with your prayer and financial giving?

*

Please select one option.

Yes No

Are you willing to obey the church's spiritual authority and its order established by the Lord Jesus Christ?

*

Please select one option.

Yes No

Signatures

Office: Please print and have them sign and date.

Your Name

*

First Reviewer's Name

Second Reviewer's Name

Pastor

*

Description

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