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2015 - New Member Registration Form
Please use one membership form per person. The membership fee is $100.00
per person. Please make checks payable to Holy Resurrection Armenian Church.
(Please Print)
NAME __________________________________________________________________
ADDRESS ______________________________________________________________
_______________________________________________________________________
TELEPHONE—HOME ______________________ WORK _______________________
E-MAIL _______________________________ OCCUPATION ____________________
MEMBERSHIP DUES FOR THE CALENDAR YEAR _____________________________
SPECIAL SKILLS WHICH MAY BE HELPFUL TO CHURCH ______________________
________________________________________________________________________
IF YOU HAVE BEEN BAPTIZED, WHAT IS THE DATE OF YOUR BAPTISM, WHO
BAPTIZED YOU, AND AT WHAT CHURCH WERE YOU BAPTIZED?
___________________________________________________________________________
Are you 18 years of age or over? Yes ______ No ______.
“I hereby apply for membership in Holy Resurrection Armenian Church of Seattle, and I attest
that I have been baptized, and have been chrismated in the Armenian Church, and that I accept
the doctrines, hierarchical authority, canons, and rites thereof, and that I am not a member of
another church. I promise to attend church, and faithfully fulfill my obligations to the church
and to adhere to the By-Laws of the Western Diocese.”
Signature ___________________________________________ Date _____________________
Acceptance Date ________________
(To be completed by the church office)