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VIRTUAL MEMBERSHIP APPLICATION

Make sure to put +1 before your number

Birthday
Month
Day
Year
Multi-line address

Membership Details

Are you a candidate for baptism?
Yes
No
Are you seeking membership based on Christian Experience?
Yes
No
How did you hear about us?

Virtual Membership Agreement

I understand that by submitting this form, I will become a member of Mount Pisgah Missionary Baptist Church.
Yes

Mount Pisgah Church Prayer Request Form

At Mount Pisgah Church, we believe in the power of prayer. Whether you need strength, healing, guidance, or peace, we are here to pray for you. Please fill out the form below, and our prayer team will lift your request up in prayer.

(Leave blank if you prefer to remain anonymous)

(If you would like a follow-up or response)

(If you would like a follow-up or response)

Prayer Privacy Preference
I would like this request to remain private.
I am open to my request being shared with the congregation.
Would You Like Someone to Contact You?
Yes, please have someone from the church reach out to me.
No, I just ask for prayers.
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