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Kirkland Seventh-day Adventist Church
6400 108th Ave NE
Kirkland, WA 98033-7244
425-822-7922
Email: ksdachurch@hotmail.com

Pastor: Philip J Lizzi
Associate Pastor: Judy Lizzi
Associate Pastor: Matt Segebartt

If you have a request for information, wish to transfer your membership to the Kirkland Seventh-day Adventist Church or are currently a member and have a change of information, please fill out the form below:

  Contact Information Form
 
Please complete this form if you wish to transfer membership, need information or are a member with information that has changed. 

Please note, if you are transferring to the Kirkland Church, please list the ministries you are interested in.

(*) Denotes required fields
Change of Information for church directory (information below)
Visitor
New to the Kirkland Area
I would like Bible studies
I would like to be baptized
I would like to my child to be dedicated
I would like a call from a pastor
Request a pastoral visit (sick family member, counseling)
Please transfer my membership to Kirkland Seventh-day Adventist Church
        Transferring from (Church name, city and state)   
 

 Birth date:     

Title:

   
First Name*:

Last Name*:

Address*:

   

City*:

 

State*:

Zip*:

Home Phone:

Alternate Phone:

Email:*

 
Spouse:

First Name:
Last Name: 
Cell Phone: 
Email (if different):

Birth date:
Anniversary:

 
Children:
First Name:
Last Name:  		First Name:
Last Name: 
Birth date:
 		Birth date:
   
First Name:
Last Name:  		First Name:
Last Name: 
Birth date:
 		Birth date:
 

*May we publish your information in the printed church directory? 
If yes, is there any information you do not wish to publish? 

 

Send a message to us: (If transferring to the Kirkland Church, please list ministries you are interested in)
 
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*The Kirkland Seventh-day Adventist Church does not share any information you submit to third parties. This information is kept confidential and is used solely for the purposes of conducting church business.