Bethel Ethiopian Evangelical Church
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Membership Application
Join the Bethel Ethiopian Evangelical Church community
Step 1 of 4
Information about you
Information about you
ሙሉ ስም / Full Name
*
Prefix
Select
Mr
Mrs
Ms
Dr
First Name
*
Middle Name
Last Name
*
ጾታ / Sex
*
Gender
ወንድ / Male
ሴት / Female
ስልክ ቁጥር / Phone Number
*
ኢሜይል / Email
*
የአድራሻ ጎዳና / Street Address
*
City
State/Province
ዚፕ ኮድ / ZIP Code
*
ፎቶዎን ያስገቡ / Upload your photo
*
Upload your photo
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