Member Key Fob Application
Please fill out this form and click submit.
Member Contact Information
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
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AL
AP
AR
AS
AZ
BC
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ID
IL
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MB
MD
ME
MH
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NB
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YT
Age Range
*
Please select all that apply.
12-18
18-30
30-65
65+
Please upload a picture of yourself you prefer to be used for our member database.
*
Upload (8MB)
Building Usage
Please explain your volunteer involvement and/or need for access to the building for our records.
Please share your department leader or church sponsor that can verify your need for building access
*
Building usage
*
Device Selection
Please select one options
*
Please select one option.
Key Fob
Key Card
Submit
Description
Please fill out this form and click submit.
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