Connection Card
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Email *
Last Name: *
First Name: *
Address:
Phone Number:
Names of household family members/those attending with you today (please include ages/grades of children)
What service are you attending today?
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Have you worshiped with us before today?
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How can we pray for you? (Prayer requests will be shared among a small, confidential prayer team.)
How did you hear about Pierce Chapel?
Interested in receiving emails from Pierce Chapel about upcoming events?  Visit our website below or email secretary@piercechapel.com
A copy of your responses will be emailed to the address you provided.
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