Christmas Connect 2020 Response Form

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By completing this form you are giving Christmas Connect permission to make contact with you via your choice of post, phone, email or text.

First Name *

Surname *

Age *

12 & under

13-19

20 - 30

31-35

36-40

41-50

51-60

61-70

71+

Postal address (required if you would like Mark Ritchie's gospel)

Phone number *

Email *

Could you tell us why you have responded? *

First Response

Recommitment

Prayer

Are you connected to a church already? *

Yes

If Yes , What is the name of your Church?

If No , Would you like to be linked to a local church?

Yes

Clear selection

How would you like us to contact you ?

Post

Phone

Text

No preference

Clear selection

Submit

Clear form

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