OSLC 2019 Directory Information
Please include ONLY information that would like PUBLISHED in the directory.

LEAVE BLANK any information that you DO NOT WANT PUBLISHED.
Last Name *
Adults (First Names) *
Children's Names
Home Address
City, State, ZIP
Home Phone (landline)
Household Email
Cell Phone 1
Cell Phone 1 belongs to:
Cell Phone 2
Cell Phone 2 belongs to:
Individual Email 1
Individual Email 1 belongs to:
Individual Email 2
Individual Email 2 belongs to:
I give my consent for Our Savior Lutheran Church (Fishkill, New York) to publish ALL of the above information in the 2019 directory. *
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