affirm membership headeracts 20:35
 

 

reaffirmation form
 

 

You have reached the web based Reaffirmation of Membership form for Park Street Church. Please take a few moments to complete the form below to reaffirm your membership. You must already be a member to reaffirm membership.

 

 

 

Membership Reaffirmation [web]
* Required
First Name *
Middle Name *
Last Name *
 
Email Address (For example: name@company.com)
 
Birthday
 
Address Line 1
Address Line 2
City
State
Zip Code
 
  Area Code Phone Number  
Home Phone
  
Mobile Phone
  
 
Would you like to reaffirm your active membership at Park Street Church? *
yes
no
 
If you do not wish to reaffirm membership, please tell us why:
 
If you are not reaffirming membership and would like a letter of transfer to your new church, please provide us with the church name and address:
 
If you are not reaffirming your membership, would you like stay on the Park Street Church roll as an inactive member?
yes
no
 
Please tell us of any prayer requests, praises or needs which you would like to share with the ministerial staff or the elders:
 
If there is something in particular about the church that concerns you at this time or for which you are grateful, please describe: