Augusta United Methodist Church

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Spouse

First Name

Last Name

Child 1

First Name

Last Name

Child 2

First Name

Last Name

Child 3

First Name

Last Name

I'm Interested In...

Baptism

Church Membership/Transfer

Meet with Pastor

Yes

No