Member Form Member Form Please complete the entire form. Name * Surname * Date of Birth * Sex * Male Female Postal Address * Physical Address * Cellphone * Marital Status * Married Single Divorced Window Widower Are you Born Again? * Yes No If Yes, give date and where * Are you water baptised by immersion? * Yes No Are you water baptised in the Holy Spirit with evidence of speaking in tongues? * Yes No How long have you been attending services at Cornerstone Tabernacle? * Name two people in church that know you well * Do you want to be a member of Cornerstone Tabernacle * Yes No Please state why you want to be / do not want to be a member of Cornerstone Tabernacle * reCAPTCHA * Submit Message