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Membership Sign-Up

  • MEMBER INFORMATION

     

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  • SPOUSE INFORMATION

     

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  • Click the plus sign to the right of the row to add additional children's names.
    Child's NameDate of BirthGender (Male or Female) 

  • CHILDREN'S INFORMATION

    Please provide information for your children ages 0-18.

     

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  • GET CONNECTED

     

  • Get connected and stay in the know by joining our Harvest Life Text Club! You'll receive special updates, reminders and more! Simply reply "Yes" when you receive the invitation text.
  • Membership Email List:
    As a member of Harvest Life, you will be added to our email list to receive important church correspondence. Please click on "Yes, subscribe me to this list" when you receive the confirmation email.

CONTACT INFORMATION

Address:
14401 Telegraph Road
Woodbridge, VA 22192

Phone:
703-490-4040

Fax:
703-497-7321

Email:
info@harvestlifechangers.com

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