Prospective Membership Application - Seed of Abraham Ministries, Inc

Name *

Street Address *

City, State & Zip Code *

Phone Number *

E-Mail Address *

Gender

Date of Birth

Referred By

What make & model motorcycle do you ride?

Have you ever been involved with any other motorcycle club or organization? . . . . . If so, Who? *

Are you “Born Again”? . . . . . What Church do you attend? *

Church Address

Church Phone# . . . . . . . . . . Church E-mail . . . . . . . . . . . . . . . . . Church Web-Site

Pastor’s Name and Phone #:

What attracts you to serving in Motorcycle Ministry? *

Have you any witnessing experience? *

What are some of your favorite bible verses?

Please describe how you became Born Again (Your Testimony):

In Conclusion:

Fields marked with * are required.