Forms/Certificates

Transfer of Confessing Members L.S.

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The Consistory of the __________________ Protestant Reformed Church of __________________ hereby certifies that ______________ are/is a member(s) of the above congregation and, as far as known to us, are/is sound in faith and upright in walk.

At _____________ request, we hereby transfer our brother/(and) sister to the __________________ Protestant Reformed Church of _______________, commending them/ him/her to your Christian fellowship and requesting the consistory to take them/him/her under their supervision and in all cases to serve them/him/her with Christian counsel.

Last Name: _______________ Phone No.: __________

Address: _______________________________________

 Given NameDate of
Birth
Date of
Baptism
Date of
Profession
Single ___________________________ ___________________ ___________________ ___________________
Husband ___________________________ ___________________ ___________________ ___________________
Wife ___________________________ ___________________ ___________________ ___________________
Children ___________________________ ___________________ ___________________ ___________________
  ___________________________ ___________________ ___________________ ___________________
  ___________________________ ___________________ ___________________ ___________________
  ___________________________ ___________________ ___________________ ___________________
  ___________________________ ___________________ ___________________ ___________________
  ___________________________ ___________________ ___________________ ___________________

Done in consistory __________

_________________, President

_____________________, Clerk

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Membership Receipt

please return as soon as possible

The certificate of ___________________ from the _________________ Protestant Reformed Church has been duly received and accepted.

______________________, President

__________________________, Clerk

Dated ___________ Church: ______________________

Notice: The above-mentioned shall be considered still member(s) of the ____________ Protestant Reformed Church until this receipt is returned properly signed.

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The certificate of _______________________________ was sent to the ________________________ Protestant Reformed Church.

Date sent _______________________

Receipt returned _________________

(Cf. Acts of Synod, 1945, Arts. 40, 51; Acts of Synod, 1946, Arts. 17, 19; Acts of Synod, 2002, Art. 51.)

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