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Membership Update Form 

 

Have you moved?  Do you have a new phone number or email address?  Did you notify the church office?

Please take a moment to complete the form to the right only if you are currently a member of Town & Country Christian Church.  Please complete a separate form for each family member that does not reside at the new address.

If you are not a member and would like more information on becoming one, please contact us at 918-333-9210 to speak with one of our ministers.
Please provide the following information:

First Name:
Last Name:
Date of Birth:
Phone Number:
Email Address:
Spouse's Name:
Spouse's Date of Birth:
Spouse's Email Address:
Wedding Anniversary Date:
Children's Names:
Address:
Security code:
 *
Do not enter anything in this field:
* indicates a required field

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Connecting Families to the God of Love!

Town & Country Christian Church
616 NE Washington Blvd.,
Bartlesville, Oklahoma 74006
PH: 918-333-9210
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