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Directory Update Request Form
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Your Name *
Gender *
Date of Birth *
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DD
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Date of Baptism
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DD
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YYYY
Marital Status *
Spouse's Name (if applicable)
Current Address (street address, city, state, ZIP) *
Previous Address (street address, city, state, ZIP)
Home Phone Number
Can we publish your home number?
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Cell Phone Number
May we publish your cell number?
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Email Address
May we publish your email address?
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First and last names of any immediate family members and their relationship who are members of Ephesus [e.g., Jane Doe (daughter)]
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