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Contact Us
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Kirkland Seventh-day Adventist Church
6400 108th Ave NE
Kirkland, WA 98033-7244
(click for map)
425-822-7922
Email: office@ksda.org

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.

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 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)   
(*) Denotes required fields
 

Title: 

First Name*:          Last Name*:

Address*:   

City*:       State*:    Zip*: 

Country:

Home Phone:       Cell:   

Email*:

Baptized member?

Birth date:    

Anniversary: Year:
 

Spouse:

First Name:       Last Name: 

Spouse's Cell:     

Spouse's Email (if different):

Baptized member?

Birth date:

Children:
1.
First Name:

Last Name: 
Baptized member?
Birth date:
Year:
2.
First Name:

Last Name: 
Baptized member?
Birth date:
Year:
   
3.
First Name:

Last Name: 
Baptized member?
Birth date:
Year:
4.
First Name:

Last Name: 
Baptized member?
Birth date:
Year:

*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 being involved in)
 

 *  Enter the code in the graphic below to help eliminate spam entries.
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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.