Membership Transfers

Membership Transfer Request (Transfer In)

Complete this form to request a membership transfer into Lakewood Seventh-day Adventist Church. For outgoing membership transfers, please contact the church clerk of the church where you wish to transfer to and ask them to initiate the membership transfer process.

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

Your Information

Today's Date*

Your Name*

First Last

Your Address*

Street Address Address Line 2 City ZIP Code

Email*

Phone*

Date of Birth*

Transferring Church

Please share the name and contact info of the church where your membership is currently.

Church Name*

Address

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

Other Household Members Requesting Membership Transfer

Household Member 1

First Last

Date of Birth

Household Member 2

First Last

Date of Birth

Household Member 3

First Last

Date of Birth

Household Member 4

First Last

Date of Birth