Mountain View Seventh-Day Adventist Church

Membership Transfer Form

Name

Phone

Address

Transferring To

Transferring From

Church Address:

Church Phone Number:

Pastor's Name

Please list additional family members included in this transfer (if applicable):

Name

I authorize Mountain View Seventh-Day Adventist Church to request and process the transfer of my membership.

Yes No

Name

Date

SunMonTueWedThuFriSat

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