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432 Van Buren Street
Herndon, VA 20170
703-437-3790 (office)
703-787-9781 (fax)
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The Canons of the Episcopal Church state that to be considered a member of a congregation, a person's name must be entered into the Church's record books. This happens when someone is baptized, confirmed, or received into a church. If your name is entered into the official record of a church you attended previously, you may transfer your membership to St. Timothy's by filling out the following form and clicking "submit".

Membership Transfer Request Form

Former Church Information
Please transfer my/our membership to St. Timothy's Episcopal Church in Herndon, Virginia from:

Name of Church:
Address (if known):
City:
State:
Zip:
Date last attended there:
Member there since:

Please list the names you would like transferred, as they appear in the Register of your former church, along with dates of birth and approximate baptism and confirmation dates, if applicable.

Name	Date of Birth	Baptism Date	Confirmation Date

Your Current Information

Local Address:
City:
State:
Zip:
Phone:
e-mail:

The office will contact you if St. Timothy's has questions about your transfer, and will notify you when your transfer arrives. For more information on membership and remaining an active member, see the FAQ page under "What is the mission of an Episcopalian?".