Membership Re-Up Campaign

We are restarting our membership database and we need your help to ensure we serve you better. Please update your membership by June 30, 2023 by completing the info below.

Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Sex*
- Male
- Female
Member of HSBC*
- Yes
- No
Marital Status*
Spouse Full Name
First Middle Last
Anniversary
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Mobile Phone
Home Phone
Would you like to receive text messages?*
- Yes
- No
Would you like to be added to the calling calling post?*
- Yes
- No
Email*
Spouse Email
Child Name
First Last
Age
Date of Birth
Date Format: MM slash DD slash YYYY
Child Name
First Last
Age
Date of Birth
Date Format: MM slash DD slash YYYY
Child Name
First Last
Age
Date of Birth
Date Format: MM slash DD slash YYYY
Child Name
First Last
Age
Date of Birth
Date Format: MM slash DD slash YYYY
Division #*
Occupation*
List Spiritual Gifts
Emergency Contact*
First Last
Relation*
Emergency Contact Phone*