Membership Form

Get started on becoming a member by filling the form.

Note: Please if the questions below does not suit who you're kindly fill the space with 'none'

Country *

Full Name *

Date of Birth * Address * Phone Number * Email * Marital Status *

Previous Church Full Name * Address * Where you a member * Post Code *

Have you been water Baptized * Where, where you Baptized *

Have you been Confirmed * Where, where you Confirmed *

Do you have a child Under (5 - 15) years

Full Name *

Date of Birth * Confirmed or Not *

Do you have a child Above (15 - 20) years

Full Name *

Date of Birth * Confirmed or Not *

In other to complete the form please pay your church Due:

Men:

₦1,500

women:

₦1,000

Youth:

₦500

Children:

₦200

(Fagbile Phase 3) 7, Risikatu Opebiyi Street, Ijegun, Lagos State.