Membership Status Update Form – 2025

This form helps us update our membership roll by September 30, 2025

Your name *

Last name

Email address *

Who are you filling the Form out for? Please Type the name in this space:

Section A: Membership Status

Please select your current membership status. *

I am a member of Bethel AME Church, Mobile

I have united with another A.M.E. Church.

I have united with another denomination.

I wish to retain my membership at Bethel A.M.E. Church.

I wish to withdraw my membership.

I am currently away at school and desire to remain a member

I am currently away for work obligations and desire to remain a member

Section B: Transfer Details (only if option 2 or 3 is selected)

Church Name

Church Address

Pastor Name

Section C: Updated Contact Information (only if option 4 above is selected)

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

MobileHomeWorkOther

Gender *

Select…MaleFemale

Anniversary Date:

Birthdate: *

Submit

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