Membership Application - Lake Berkeley Chapel

Name*

First

Last

Email address*

Email Address*

Address*

Street Address

Address 2

City, State, Zip Code

Home Phone*

Cell Phone*

Please check areas of interest*

You may select more than one by holding the "Shift" key down while selecting.

As a registered member of the Lake Berkeley Chapel, you are encouraged to participate in Chapel services and activities, in stewardship and in financially supporting the Chapel’s activities and outreach. We also welcome your services as a cook at the monthly Chapel service and in our fundraising activities.

Signature (Electronic)*

Please type your full name

Confirmation*

By checking the box I confirm the above signature.

Date

Lake Berkeley Chapel Membership Registration Form

Lake Berkeley Chapel Membership
Registration Form