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Mount Vernon Place Connection Form
Please complete this form with your information so that we know how best to connect with you. This helps us know how to reach you via phone, email, or cards to check-in from time to time. We will never sell your information or subscribe you to any emails without your consent first.
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Name
*
Your answer
Gender & pronouns
*
Your answer
How are you connected to Mount Vernon Place?
*
Member
Friend/Guest
Regular attender but not presently a member
Mailing Address (if you are a guest or want to update your address)
This helps us look at the spread of our community for future ministries and also enables us to send you cards in the mail.
Your answer
Phone number
Your answer
Email address
Your answer
Would you like to be placed on our email list?
Yes
No
Clear selection
Would you like your information to be shared in our directory?
*
Yes
No
Other:
Prayer Request
Your answer
Message for Pastor
Your answer
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