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Virtual Membership Form

We are so excited for you to CONNECT with us. 

Complete this form to begin your virtual membership TODAY!

Name*

Address*

City, State, Zip *

Phone*

Best Day to Contact You *

Best Time to Contact You *

AM/PM*

Time Zone*

Email Address*

Date of Birth*

Type of Membership *

Total in Household*

Names & Ages of Occupants

Names & Ages of Occupants

Names & Ages of Occupants

Names & Ages of Occupants

Number of Males *

Number of Females*

Please briefly share your reason for becoming a virtual member*

If applicable, please list the name of your current local church and pastor.

If you have any questions or need any assistance with virtual membership, please contact our v-member team at ctcb.vm21@gmail.com​

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