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Rev. 061710 CENTRAL ASSEMBLY OF GOD CHURCH (Form CL5) 155 McGovern Road $ Houston PA 15342 Tel (724) $7464900 Fax (724) 7460922 CHURCH MEMBERSHIP APPLICATION Please carefully print all information,
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Begin by providing your personal information, including your full name, contact details, and address.
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Next, fill in your religious affiliation and any previous involvement with religious organizations.
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