Membership Transfer Request

The Kissimmee SDA Church has a dedicated team of men and woman, organized to assist you. If you desire having your church membership transferred into the Kissimmee SDA Church, please fill out the below form required to commence the process.

Thank you for choosing Kissimmee SDA as your new home church. We look forward in getting better acquainted and minister to you more effectively

Kissimmee SDA Membership Transfer Request

Company

This field is for validation purposes and should be left unchanged.

Personal Information

Please fill out the following information needed to conveniently accomplish the process.

Please Select One:

Name:*

First Last

Home Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:*

Email:

Current Church Membership Information

Please provide the name of the Church your membership is currently affiliated with. (This information is important in order to speedily and conveniently process the request)

Church Name:*

Church Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:*

Church Email:*

Ministers Name:*

Spouse Information:

Name:

First Last

Is Spouse Baptized: Please Choose One

Yes

Children(s) Information:

Child Name:

First Last

Age:

Is Child Baptized: Please Choose One

Yes

Child Name:

First Last

Is Child Baptized: Please Choose One

Yes

Age:

Child Name:

First Last

Is Child Baptized: Please Choose One

Yes

Age:

Additional Information: