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Congregation/Faith Community Membership Update Form
Please complete as much information as possible
Name of Congregation/Faith Community
Website Address
Office Email Address
Postal Address
Address line 1
Address line 2
City/Suburb
State/Territory
Postcode
Contact Person/Administrator
Title
First name
Last name
Contact Number
Email Address
Previous Contact/Administrator
Church Council Members
Current Chairperson
Title
First name
Last name
Email Address
Contact Number
Previous Chairperson
Vice Chairperson
Title
First name
Last name
Email Address
Contact Number
Previous Vice Chairperson
Secretary
Title
First name
Last name
Email Address
Contact Number
Previous Secretary
Treasurer
Title
First name
Last name
Email Address
Contact Number
Previous Treasurer
Church Property Contact
Title
First name
Last name
Email Address
Contact Number
Previous Property Contact
+ Add another
Safe Church Contact
Title
First name
Last name
Email Address
Contact Number
Previous Safe Church Contact
+ Add another
Minister/Pastor/Lay Preacher
Title
First name
Last name
Group
Ordained Ministers in Placement
Ministry of Pastor (MOP-Commissioned)
Minister in Association
Lay Preachers
Email Address
Contact Number
Previous Minister/Pastor/Lay Preacher
Elected Member to Presbytery
Title
First name
Last name
Email Address
Contact Number
Previous Elected Member
Elected Member to Presbytery
(if more than one)
Title
First name
Last name
Email Address
Contact Number
Previous Elected Member
Any other information you'd like to share?
Name of person completing form
If you have any questions about this form please email
presadmin@wa.uca.org.au
Please check the highlighted fields
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