Print this form, fill it completely and mail to: Spiritual Assembly of the
Bahá'ís of Springfield
P.O. Box 1841
Springfield, Illinois 62705

Bahá'í Declaration Form

By signing below, I declare my belief in Baha'u'lláh, the Promised One of God. I also recognize the Báb, His Forerunner, and `Abdu'l-Bahá, the Center of His Covenant. I request enrollment in the Bahá'í Community with the understanding that Baha'u'lláh has established sacred principles, laws, and institutions which I must obey.

Registration Information

Full Name: __________________________________

Address: _________________________________

City: __________________State: _____Zip: ___________

Country: ________________

Country/State of birth: ______________________

Sex: Male / Female

Birth Date: (mm/dd/yy) _____________

Telephone (Home): ________________ Telephone (Work): ________________

Signature: ____________________________     Date: (mm/dd/yy) _____________

Instructions:

If you live within the United States, you can also use our National automated web form so that your interest in becoming a Bahá'í can be directed to the closest Bahá'í institution. The web form can be found at: http://www.us.bahai.org/howbahai.htm
 
Note to other local Spiritual Assemblies: This form needs to be transcribed to a standard declaration form.

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