Membership Renewal Form

By filling out this form, you are affirming that you have remained a member in good standing of Elmira Pentecostal Assembly during the year of  2020, and wish to retain your membership in 2021. You also affirm that you understand and agree with the basic responsibilities and privileges that are assumed with this membership.

Has your address or phone number changed in the last year? If yes please fill out the information below.
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Elmira Pentecostal Assembly  |  290 Arthur St. S, Elmira ON,  N3B 3N4  |  519-669-3973  |