Shiloh Webchurch Application - Patricia King Ministries

MAIN APPLICANT

Select One*

Name*

First Last

Middle Initial

Date of Birth*

Marital Status*

Email*

Enter Email Confirm Email

Facebook Name (please put your FB name so we know who to invite to the FB private group):

Main Phone*

Secondary Phone

Best Time to Call

Address*

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

Spouse

Will Your Spouse be Joining the Webchurch? (no extra charge)

Yes
No

Name

First Last

Date of Birth

Do you know Jesus as your personal Lord and Savior?*

Yes
No

Describe your walk with the Lord. Examples: Vibrant, growing, weak, struggling, or dormant. If you’d like, please explain.*

Are you currently involved in a local church? If so, please describe your involvement.*

All information will be kept confidential, in a secure place, and will only be shared with the Shiloh Webchurch Pastor.

When you complete this personal information page, click the SUBMIT button and then complete the second step where you will submit your $35 Shiloh Webchurch membership fee. Note, these are monthly automatic recurring payments. Your completed application may take up to 7 business days to process. Unless you submit payment on the following page, your application will not go through and you will need to apply again.

Note: The $35 Monthly Administration Fee is NOT tax deductible and will not be included in your year-end tax receipt. Any tithes and offerings above the Monthly Administration Fee will be tax deductible.