Visitor Information
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We are so glad that you chose to join us. Thank you for taking time to fill out this quick form. If you have any questions please feel free to contact our pastor, Rev. Tim Strider at (336)-581-3419.
First & Last Name(s)
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Your answer
Email
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Your answer
Phone
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Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Status
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Single
Married
Age Group
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13 - 19
20 - 29
30 - 39
40 - 49
50 - 59
60+
Please check the applicable boxes:
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First-time visit
Returning visitor
Would like to know more about this church
New to the area
Would like a visit
Would like to know more about being a Chirstian
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How did you hear about us?
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Your answer
Are you currently a member of another church?
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Yes
No
Please list any questions or concerns you may have below.
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