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Cornerstone Baptist Church
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Bishop Charles Jackson III
Elder Alaine Jackson
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Member Info Update
Members may update information here.
Name
(*required)
Title First Middle Last Suffix
-
Miss
Ms.
Dr.
Mr.
Mrs.
-
Sr.
Jr.
II
III
PhD.
Gender
-
Male
Female
Nickname/Goes by
Address
Street City State Zip Code
Country
Phone/Email
(*required)
Primary Phone* Other Phone
Please indicate which phone number you wish to be used for instant voice
messages from Dr. Jackson
Primary Phone
Other Phone
Email* Alternate Email
Additional Information
Marital Status
-
Single
Married
Divorced
Separated
Widowed
Names of Additional Household Members
Any Other Comments
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