Heartland "Welcome Card"
Welcome to Heartland! We're so glad that you decided to connect with us. If you fill out this form, someone from our staff will call you this week to hear your story and help you get connected!
Have visited one of our campus locations? If so, which one? *
First Name(s) *
Last Name(s) *
Address *
City, State, Zip: *
Phone Number *
Email Address *
I am: *
How did you hear about Heartland? *
I want to know more about:
Prayer Requests or Needs:
Please let us know if our staff can be praying for you in any way!
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