LICOC Directory Update Form
For members of the Long Island Church of Christ, use this form to update your Church Directory contact information. If you have any questions you may email directory@licoc.org.


**Please Note** If you're updating your existing information, only include the information that changed. Use the comments section to request the removal of any information that is no longer relevant.


Thank you.

First Name *
Your answer
Last Name *
Your answer
Street Address 1
Your answer
Street Address 2 (Apt #, etc)
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Email Address
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Physical Birthday (mm/dd/yyyy)
Your answer
Spiritual Birthday (mm/dd/yyyy)
Your answer
Any additional comments?
Your answer
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