New Member Contact Information
Please complete the following information so that we can keep you informed of Shepherd happenings.
Your Contact Information
Last Name, First Name *
Your answer
Home Address *
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City, State, Zip *
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Best Contact Phone Number *
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Email Address
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Would you like to receive weekly Shepherd e-Bulletins and bi-monthly newsletters?
Spouse Contact Information
Spouse's Last Name, First Name
Your answer
Best Contact Phone Number
Your answer
Spouse's Email Address
Your answer
Would your spouse like to receive weekly Shepherd e-Bulletins and bi-monthly newsletters?
Childrens' Information
Child #1 Last Name, First Name
Your answer
Child #1 Date of Birth
Your answer
Child #2 Last Name, First Name
Your answer
Child #2 Date of Birth
Your answer
Child #3 Last Name, First Name
Your answer
Child #3 Date of Birth
Your answer
Child #4 Last Name, First Name
Your answer
Child #4 Date of Birth
Your answer
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