Covenant Partners Membership Form

PERSONAL INFORMATION

Membership Number(*)
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First Name(*)
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Last Name(*)
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Gender(*)
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Permanent Address(*)
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City / State(*)
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Zip Code(*)
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Phone Number(*)
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E-mail(*)
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MEMBERSHIP DETAILS

Frequency(*)
Please select freuency

RCCG Goodnews Haven Covenant Partner’s Account Details.

Barclays account:
               43771873   

Sort Code:
               20-98-57

Signature
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Membership Group(*)

Please select a membership group

(You are free to start with any group of your choice from 1 to 10. You may decide to move up the ladder even as you begin to receive blessings from God)