TELL US ABOUT YOU (AND YOUR FAMILY)

I am a first time visitor
I attend regularly

This is my new address
How can I get a directory

NAME

ADDRESS

CITY / STATE / ZIP

PHONE NUMBER

E-MAIL ADDRESS

BEST TIME FOR US TO CONTACT YOU

CHILDREN'S NAMES & AGES

I AM A VISITOR AS A RESULT OF:
Friend/Neighbor:

Recent Event:    

Other:               
I am looking for a home church
I would like to be contacted about:

I'D LIKE MORE INFORMATION ON:

Salvation
Membership
A pastoral call/visit
Counseling
Baptism
Marriage

Youth
College Age
Men's Ministries
Women's Ministries
Children's Ministries


Other:

GOOD NEWS!

I gave my life to Christ today
I rededicated my life to Christ
I received a blessing (type)