Church Member's Current Contact Info
Your contact info may be out-of-date or incorrect in our records! We are trying to stay connected with you. Please fill out the form with your most recent information.
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What is your first and last name? *
Do you live with a spouse and/or children? Please provide names of all who live in your household. *
What is your home address? *
What is your home (landline) number? *
What is your cell phone number? *
What is your spouse's cell phone number? (Please write "N/A" if not applicable.) *
What is your email address? *
What is your spouse's email address? (Please write "N/A" if not applicable.) *
Today's date? *
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