MEMBER QUESTIONNAIRE | First Lutheran Church, Gary, South Dakota

Member Questionnaire

Name: (Required)

Address: (Required)

City, State, ZIP: (Required)

Home Phone:

Cell Phone:

Email address:

Please check all of the following that apply:

I would like to remain a member of First Lutheran Church, Gary, South Dakota.

I have joined/am actively involved with another congregation. Please grant a transfer or release of my membership at First Lutheran Church, Gary, South Dakota.

Name, city, and state of other congregation:

I am worshiping regularly at another congregation, but would like to remain a member of First Lutheran Church, Gary, South Dakota.

Name, city, and state of other congregation:

Reason(s) for wishing to remain a member of First Lutheran Church, Gary, South Dakota:

I would like the pastor to contact me to discuss my membership status.

Best time to call:

I would like to be removed from membership at First Lutheran Church, Gary, South Dakota.

Comments, questions, or concerns:

Thank you for completing this questionnaire.

First Lutheran Church, Gary, South Dakota

702 Coteau St.
Gary, SD 57237

(605) 272-5230

firstgarysd@gmail.com

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