Connect Card
Let's Connect!
We would love to hear from you. Please fill out this brief form so we can better reach you.
First Name
Last Name
Marital Status
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Engaged
Married
Partner
Widowed
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Mobile Number
Email Address
Mailing Address
How did you hear about us?
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Website
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Do you currently have a church home? If you do, where do you actively attend?
Today:
I dedicated my life to Christ for the first time.
I re-dedicated my life to Christ.
N/A
Next Steps
I'm interested in getting baptized.
I'm interested in visiting with a pastor.
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I would like to become a member.
I would like to become a volunteer.
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