On Demand Decisions

Thanks for taking the time to tell us about yourself!

Email(Required)

Salutation

Name(Required)

First Last

Mailing Address

Street Address City State ZIP Code

Gender(Required)

Male

Female

Cell Phone(Required)

Home Phone

Today's Date

Date of Birth(Required)

If under 18, enter Parent's Name and telephone number:

Which are you seeking? (select one)(Required)

Salvation (accepting Jesus Christ as Savior)

Discipleship (Becoming a Member of The Bethel Church)

CONNECT WITH US

THE BETHEL CHURCH

215 Bethel Baptist Street, Jacksonville, FL 32202 | Phone: 904-354-1464 | Fax: 904-359-0015

Title