Request for Membership Transfer Form

"*" indicates required fields

I have decided to become a member of St. Nicholas Episcopal Church. Please record my baptismal and other related information in your congregational membership register. Also, please request a transfer of membership from my previous parish or send a courtesy notification of my change of membership to my previous church, as appropriate.

Previous Denomination (check one):*

Provide the following information, as appropriate:

This field is for validation purposes and should be left unchanged.