Membership Application

I am interested in... (choose one)

Becoming New Member (with no previous membership)

Transfering Membership (coming from another Church)

First Name

Last Name

Email

Phone Number

I accepted Jesus as my Lord and Savior (date, approximate okay):

I have been baptized by immersion (date, approximate okay):

If you have not been baptized by immersion, are you willing to do so?

Yes

No

Don't Know

My Testimony

Please check all that apply:

I have read, understood, and agree with the NAB's Statement of Beliefs

I have read, understood, and agree with IBC's Statement on Baptism

I have read, understood, and agree with IBC's Church Covenant

If you have any questions about the above documents, or anything else regarding Membership at IBC, please do not hesitate to contact us!

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