Sts. John and Paul Catholic Church

                                                                                                      

Postal Address:                       Telephone Number:  (021)953 3147                        Street Address:  

P.O. Box 10122                                                                                                 33 Willow Way

Belhar                                                                                                               Belhar

7490                                                                                                                 7493

                        Email address:  stsjohnandpaulcatholicchurch@gmail.com                                     

 

Parish Membership Form

 

Family Details:

 

 

Name

Surname

Date of Birth

Catholic

(Y/N)

Baptised

(Y/N)

Occupation

Father

 

 

 

 

 

 

Mother

 

 

 

 

 

 

Children

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Surname

Date of Birth

Catholic

(Y/N)

Baptised

(Y/N)

Relationship

Dependants

 

 

 

 

 

 

In the

 

 

 

 

 

 

Family

 

 

 

 

 

 

 

Contact Details:

 

Address

 

 

 

 

 

Telephone Number (Home):

 

Telephone Number (Work):

 

Cell Number:

 

Cell Number:

 

Email Address:

 

 

 

PLANNED GIVING DETAILS

(Please Tick)

Do you know your planned giving number

 

YES

 

NO

What is your number

 

 

                                (Please Tick)

 

Do you want to belong to the Planned Giving of the Parish

YES

NO