Membership Application Complete all fields below. Name(Required)SpouseStreet Address(Required)City(Required)State(Required)Zip(Required)Phone(Required)Email(Required) EmploymentDate of Salvation(Required) MM slash DD slash YYYY If so, how long?Have you been baptized by the Holy Spirit(Required) Yes No Why do you want to become a member?(Required)Previous Church(Required)Are you a member?(Required)Reason for leavingHave you read and do you agree with the Fundamental Truths set forth by the General Council of the Assemblies of God?(Required) Yes No Do you choose to conduct your life in a manner that brings honor to this church and more importantly to the name of the Lord Jesus Christ?(Required) Yes No Applicant's Electronic Signature(Required)Date(Required) MM slash DD slash YYYY Approved by Board Chair ______________________________________________Date ___________________ Δ Location 5191 Eisenhower Parkway Macon, GA 31206 info@parkwayassembly.com478-477-5678 Services Sundays at ParkwaySunday School 10amSunday Service 11am Wednesday 7pm Important Links Contact UsGiveEventsLive BroadcastBlogForms Social FacebookApp
