Please share with us details about yourself:
Your Name (required)
Your Email (required)
Your Address
Your Cell Phone Number (required)
I am:
MemberVisitorCommuning today
If you are a visitor, what brought you here?
The name and location of your home church:
I WISH...
I were a memberPastor would call on meI was on the e/newsletter listI had offering envelopesTo be added to the ZOOM prayer gatheringThe pastor would contact someone (ill / a prospect member / other):
I WISH FOR...
Pastor/congregation would pray for:
I WISH TO...
be invited to:
Attend a Bible/Book studyHelp with the youth programsBe an usherHelp in Food PantryVolunteer opportunitiesBe a readerBe a GreeterHelp with Sunday SchoolOther:
Memos / Comments / Prayer Requests:
For validation that this is a person filling out this form, please type the following below:
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