Holy Trinity Community Church

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We are collecting contact information from the congregation (members and visitors) to make sure that we have the most up to date information. This information will be treated as confidential information for the use of church officials to conduct church business only and will not be shared with other individuals, businesses, agencies or organizations.

Email *

Membership Status *

Member

Visitor

Visitor but would like to be contacted about joining

Full Name ( Last, First) *

Please use the following format: Last Name, First Name

Mailing Address

Cellular Phone Number (mobile)

Note: Text messages will only be sent to cellular/mobile phones. You will be asked to provide landline phone information in the next question. Please include the area code and list your number in the following format: (area code)-XXX-XXXX 252-123-0000

Landline Phone Number

Please include the area code and list your number in the following format: (area code)-XXX-XXXX 252-123-0000

Name and Phone Numbers of Your Emergency Contact(s): (Name, Relationship to you, and Phone Number(s)) *

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