SBCC e-form

CHANGE OF ADDRESS/MEMBER INFO UPDATE
* Required
First Name *
Last Name *
Email Address *
 
Birthday
Address Line 1 *

Address Line 2

City *
State *
Zip Code *
 
Area Code
Phone Number
Home Phone *
Fax Phone
Work Phone
  Ext:
Cell Phone

FAMILY INFORMATION:
Name of New Family Member & Relationship (Enter full name):

Name of New Family Member & Relationship (Enter full name):

Name of New Family Member & Relationship (Enter full name):

Remove Family Member (Enter full name):
Reason for Removal:
 Personal
 Relocation

Remove Family Member (Enter full name):
Reason for Removal:
 Personal
 Relocation

Wedding Date: (Please enter as MM/DD/YYYY)
How would you like your name to appear in church records?
How would you like your name to appear in church records?

Is your spouse a SBCC member?
 Yes
 No

What is your spouse's name?
What is your spouse's birthday? (Please use MM/DD/YYYY for birthday)
Were any new family members (ages 0-17) resulting from this marriage?
 Yes
 No

     If Yes, please list on separate lines, full name(s) AND birthdates:
If you made a Change or Update, what category did you update?
 Name
 Telephone Number
 Address
 Email Address
 Family Information
 Other

Specify Other:
THANK YOU FOR ASSISTANCE IN KEEPING OUR CHURCH RECORDS ACCURATE.

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