Love LA 24/7 2017 New Believer Form
If you lead someone to Jesus please enter your (messenger) and their (new believer) contact info below, so that we can encourage you in your follow up, and reach out to them with secondary discipleship opportunities.

At least one point of contact (phone or email) for the new believer is required - both are preferred.

First name
First name of Messenger
Your answer
Last name
Last name of Messenger
Your answer
Phone
Phone number of Messenger
Your answer
Email
Email address of Messenger
Your answer
New Believer
First name
First name of New Believer
Your answer
Last name
Last name of New Believer
Your answer
Phone
Phone number of New Believer
Your answer
Email
Email address of New Believer
Your answer
Notes (optional)
Please share anything we should know about the person or situation.
Your answer
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