Faith Lutheran Membership Form
Form is set for two Members and Additional Family members at the bottom.
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Shelley Caccamo
28 Indian Hill Rd Farmington CT 06032
860-371-7068
caccamo8@comcast.net
06/04/1971
MM
/
DD
/
YYYY
Y
Y
Christopher Caccamo
Same
860-205-2324
Email Address
12/29/1969
MM
/
DD
/
YYYY
Y
Y
Sydney Caccamo and Cole Caccamo
Same
Phone (optional)
-Home
-Cell

Email Address (optional)
08/18/2002 and 7/14/2004
MM
/
DD
/
YYYY
Y and Y
Y Confirmation Sydney; Y First Communion Cole
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