Visitors sign-in
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Date
*
MM
/
DD
/
YYYY
Name
*
Title, First, Last
Your answer
Address
*
Street # & Name
Your answer
City/ State
*
Your answer
Zip Code
*
Your answer
Phone
404-444-1111
Your answer
Email
Your answer
Age Group
*
18-24
25-29
30-39
40-49
50-59
60+
18-24
25-29
30-39
40-49
50-59
60+
Children
First Name, Age
Your answer
Guest of:
BHCC Member's First & last Name
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Please check the box that apply:
First- time visitor
Second- time visitor
Returning visitor
New to area
Would like a visit
Would like a call
Would like to know more about being a Christian
Would like to know more about the church
Feed back on the service
Your answer
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