Visitor's Feedback Form
THANK YOU for visiting our church!  We want to hear about your experience and answer your questions.  We welcome your feedback and the opportunity to serve as a blessing to you.

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Your first and last name *
Which Penns Valley Charge ministry did you visit? *
The date you visited. *
What would you like to share with us about your time of worship?
Message topic I'd like to hear
May we provide more information about the following?  (Check all that apply.)  
Anything more you would like us to know?
Do you wish for a reply from the Pastor?
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How do you prefer we contact you?
We are a praying church.  How may we pray for you?  (Prayer requests are confidential.)
Thank you for taking the time to offer your feedback and requests.  
If you requested information, you will hear from us with 7 days.  You are always welcome to contact us through our website at where you will also find a lot of information about upcoming events and much more!  

May the words of Philippians 4:7 (NRSV) bring you comfort and inspiration till we meet again...
"And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus."

With hands to the plow,

Pastor Theresa M. Heiser, Penns Valley Charge of the United Methodist Church

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This form was created inside of Susquehanna Conference.