Immanuel Connect Card
We're so glad you have joined us today! Fill out the card below so we can find out more about you!
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Name: *
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Address: *
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Phone Number *
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Would you like to receive text updates? *
What age group are you in?
(If you are a student) What Grade are you in?
Are you married?
Do you have children living at home with you? What are their names? How old are they?
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Would you like to speak to a minister about any of the things below?
Prayer Needs: (Please specify if this is confidential)
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What service did you attend?
Would you like information about any of the following?
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