Section 1 of 1
LET'S CONNECT
Thank you for joining us! Want to know more about NPMC? This is a great place to start!
Today's Date
Today's Date
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Time
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Your name
Your name
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Time
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Spouses name
Spouses name
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Time
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Children's Names & Ages
Children's Names & Ages
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Date
Time
Please separate children with with a comma
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Mailing address
Mailing address
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Please provide us with your mailing address.
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City
City
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State & Zip Code
State & Zip Code
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Phone Number(s)
Phone Number(s)
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Please separate phone numbers with a comma.
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Email address
Email address
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Contains
Doesn't contain
Email
URL
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I am a...
I am a...
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Select one of the following options.
First time visitor
Visitor
Regular Attender
Member
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Today, I attended NPMC...
Today, I attended NPMC...
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Date
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In-person
Online
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How can we help you?
How can we help you?
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My contact information has changed. (INCLUDE YOUR UPDATED INFO ABOVE)
I would like prayer. (FILL OUT REQUEST BELOW)
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Want to help? (CHECK ALL THAT INTEREST YOU)
Want to help? (CHECK ALL THAT INTEREST YOU)
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Time
Children's Ministry
Youth Ministry
Men's Ministry
Women's Ministry
Small Group
Worship Ministry
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Prayer Requests
Prayer Requests
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How can we be praying for you?
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