Member Information Form - Pleasant View Community Church

Contact Information

Name *

First

Last

Date of Birth *

Physical Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing address same as physical address? *

Yes
No

members a to

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Have you signed up for the church call chain (One Call Now)? *

Yes
No

Would you like to be signed up for One Call Now to receive special announcements, updates, and prayer requests from the church? *

Yes
No

Membership

Are you a member of Pleasant View Community Church? *

Yes
No

Are you interested in becoming a member of Pleasant View Community Church? *

Yes
No

Do you regularly attend Pleasant View Community Church and/or consider PVCC to be your home church? *

Yes
No

Members of Your Household

Please tell us about your family so we can serve you better

Are there other members of your family in your household? *

Yes
No

Wedding Anniversary (if married)

Members of your household

Name *

First

Last

Relationship *

Date of Birth *

Phone

Email

Sign up for One Call Now?

Yes
No

Membership?

Already a member
Interested in becoming a member
Not interested at this time

Click "Add" below to add other members of your household

Picture Time!

Please take or upload a photo of you and your family so we can put some faces with names. These photos will not be shared or published anywhere; they are strictly for church use.

Picture Upload

Drag & Drop Files, Choose Files to Upload