Page 20 | Bessemer Presbyterian Church

Membership Questionnaire

Please use the following form to 1) Make known your intentions regarding your membership at Bessemer Presbyterian Church and 2) Update your contact information for the church office. Thank you! This form should be filled out by all current members and anyone wishing to become a member of the church.

Please complete the following questions and submit before November 11, 2025.

Name (Required)

Email Address (Required)

Please select one of the following options to indicate your intentions regarding membership at Bessemer Presbyterian Church:

I am an active member of BPC and wish to continue as a member

I am an active member of BPC but I do NOT wish to continue as active. I wish to transfer my membership.

I am an active member of BPC and do NOT wish to continue as active. Please place me on the "Baptized Members" list.

I am NOT YET a member of BPC but wish to become a member.

I am NOT YET a member of BPC but only wish to provide contact information at this time.

For those requesting a transfer, Name & Address of Congregation to Transfer Membership

Your Address

Your Phone Number

Family Members Living at Home

Birthdays

Wedding Anniversary (if applicable)

Solve 2 + 3 = ?

Bessemer Presbyterian Church

Following Jesus together as we connect, glorify, grow, serve, and share.

29 N. Main Street

Bessemer, PA 16112

724-667-7255

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