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

**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.

All changes submitted prior to January 1st will be included in the next printed directory.

Thank you.
First Name *
Last Name *
Street Address 1
Street Address 2 (Apt #, etc)
Email Address
Home Phone
Mobile Phone
Physical Birthday (mm/dd/yyyy)
Spiritual Birthday (mm/dd/yyyy)
Any additional comments?
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