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Bethlehem Church Connection Card
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First Name
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Your answer
Last Name
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Your answer
Email
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If you do not have an email address, please write "none."
Your answer
Phone
Please use the 555-555-5555 format.
Your answer
Street / Mailing Address
Your answer
City
Your answer
State
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ZIP
*
Your answer
Are you a...
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First Time Guest
Second Time Guest
Regular Attender
Member
How are you participating in worship?
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9 am Sunday in person / drive in
9 am Sunday online Facebook
Facebook at another time
Radio Broadcast at 11:30 am Sundays
Other:
How many people (including you) are watching / listening with you?
*
Your answer
How did you find out about Bethlehem's online worship or radio broadcast?
Friend
Family
Website
Email
Other:
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Prayer Request
These are prayed for each week by our staff.
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