Electoral Roll

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Application for Enrolment on the church Electoral Roll

First Name

Last Name

Street Address

Street Address Line 2

City

County

Post code

Phone

I would like to be added to the church mailing list to be kept up-to-date of what's happening at St. Andrew's

I declare that I am BAPTISED

...and I am either AGED 16 OR OVER

OR I become 16 on (please enter date below)

I declare that (please tick only one box from options A, B or C)

A - I am a member of the Church of England (or of a Church in communion with the Church of England) and am a resident in the parish.

B - I am a member of the Church of England (or a Church in communion with the Church of England) and, not being resident in the parish, I have habitually attended* public worship in the parish during the period of six months prior to enrolment.

C - I am a member in good standing of a Church (not in communion with the Church of England) which subscribes to the doctrine of the Holy Trinity and also declare myself to be a member of the Church of England and I have habitually attended (*or see box below) public worship in the parish during the period of six months prior to enrolment.

*or would have attended but was prevented from doing so due to the following reason:

I declare that there true and I apply for inclusion of above answers on the church electoral roll of the parish of ST ANDREW (OLD CHURCH) HOVE (please sign your name in the box below):

Thank you for joining the electoral roll!

Electoral Roll

Application for Enrolment on the church Electoral Roll

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