Digital Connect Card
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First Name *
Last Name *
Phone Number or Email Address *
I am *
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Title
How can we pray for you?
Comments or Questions?
Would you like to restrict access to your prayer request to only Pastors and Elders or share this prayer request with our prayer team?
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Spouse's Name
Is Your contact information new to us?
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Children's Names & Birthdays (if we don't already have that information)
I am a(n)
Please provide your email address if you would like to subscribe to the church e-newsletter (this is a one-time subscription)
I would like someone to contact me about:
I would like to serve. Put me down for interest in the following:
I would like to join a small group. The best day/s for me/our family is:
Address (If we already have your address, please skip the last few question.)
City
State
Zip Code
If you are a guest with us, how did you hear about us?
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