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| | Date Registered:
| 31 January 2003 | | Title: | New Member | | Do you now believe in Jesus? Please show your answer in the block provided, either "yes" or "will try" (without the quotes).: | yes | | If you're a believer already, please mention your denomination or church, one or more, or simply show "Christian" (without the quotes). If you're not sure you believe in Jesus, but will try as you pray, please leave this blank.: | Disciples Of Christ | |
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