My Decision Form (City Tabernacle of Seventh-day Adventists)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome!! We are delighted that you have arrived at this page. We believe that you are on the path to a new life in Jesus Christ. Please complete the fields below so we can get in contact with you.

Email *

First name *

Last name *

Home address

Phone number *

Do you prefer to be contacted by PHONE, EMAIL or TEXT?

Please call me.

Please email me.

Please text me.

Clear selection

When is the BEST TIME to contact you?

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Mornings (8 a.m. - Noon)

Afternoon (Noon - 4 p.m.)

Evenings (4 p.m. - 8 p.m.)

Please select one or more of the following:

I would like to be BAPTIZED.

I would like SPECIAL PRAYER.

I would like to enroll in a BIBLE STUDY CLASS.

I would like a HOME VISIT.

I would like to request a TRANSFER OF MEMBERSHIP to this church.

Other:

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

Forms

reCAPTCHA

Privacy Terms

This form was created inside of City Tabernacle of Seventh-day Adventists.