PRESBYTERIAN CHURCH (USA)
CERTIFICATE OF TRANSFER
This is to certify that __________________________________________
is/are in full communion and in good and regular standing in the Presbyterian Church of
______________________________________________________________
and upon ___________ own request is/are herby transferred and affectionately
recommended to the fellowship of ______________________________________
City _______________________ State _________________
And when so received, and not before, membership to this church will cease.
By order of the Session
Moderator____________________
Given at ____________________________ Clerk of Session_________________
Date: ___________________
“When a certificate of transfer has been issued, the name(s) of the member(s) shall be retained on the appropriate
roll by the church issuing the certificate until the person(s) is/are received into the membership of the other church.
Please fill out the Certificate of Reception and send back to ______________________________________
CERTIFICATE OF RECEPTION
This is to certify that __________________________________________
was/were received into the membership of ___________________________
at _________________________ on ___________________ 20______
This section of the certificate
should be filled in and returned to
dismissing church as soon as member(s)
Signed:__________________________________
is/are received into membership.
Office or title:_____________________________