Membership Directory Information

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Below is the information we collect to put in the directory (some of the information will be for office use only and will not be included directly on your directory page)

Name First/Last & Nickname or Preferred Name

Birthday

YYYY

Have you been immersed into Christ?

Yes

Clear selection

Mailing Address

Physical Address & Directions from the church building

Home Phone

Cell Phone

Would you like to be added to our automatic phone call system? If yes, which phone number would you like added? (just type "yes" if you've only entered one number above)

Would you like to receive the weekly bulletin, monthly calendar and any church news by email?

Yes

Clear selection

Clear form

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