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Contact Information Form
Welcome to First Presbyterian Church of Ithaca! This form is a way of sharing your information with the church so we can add you to newsletters and communications, and to share interest in membership in the church. Along the way we will ask you about joining our Church Directory. Feel free to skip any questions you would rather not answer!
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Email
*
Your email
Name (first, middle, last)
Your answer
Phone number:
Your answer
Is this a cell?
Yes
No
Clear selection
Email and/or other preferred contact:
Your answer
Do you have any other family members you would like added to our information?
Your answer
What is your birthday?
Your answer
Would you like us to include the information above in our Church Directory? (check all that apply)
Yes, I'd like to be in the Directory
No, I would rather not be in the Directory.
I will email a photo for the directory to
church.fpci@gmail.com
I would like to have my photo taken for the directory
I would not like to include a photo at this time
Other:
If you are new to our church, are you interested in learning more about membership?
Yes
No
Maybe
Clear selection
Thank you!
If you are interested in church membership, a follow-up form will be sent to you with additional questions for our church records. Please add anything below you would like the pastoral staff to know. Thank you for helping us keep our directory and information accurate and up-to-date, and for connecting with our congregation and leadership!
...Tell us anything else you would like us to know!
Your answer
Send me a copy of my responses.
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