FIRST TIMERS FORM (Dream Centre of the Life Oasis International Church)

FIRST TIMER'S FORM (Dream Centre Online Church)
Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Nationality*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Are you born again?*

YesNo
Date of Salvation

MonthDay Year
Will you like to join The Dream Centre?*

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Sex
Marital Status
Age Range
The personal information collected is for record and correspondence only. We will keep your data secure and we will not use your data for marketing or commercial purposes. Tick the checkbox to give your consent.

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