Connect Card - November 19, 2023
Please fill out this form and click submit.
Individual 1 Name
*
Individual 2 Name
Number of people worshiping in your household today:
*
Please select one option.
1
2
3
4
5
6
7
8
9
10
Select Option
1
2
3
4
5
6
7
8
9
10
Choose one:
*
Please select all that apply.
I am a visitor.
I am a regular attender.
I am a member.
The Weekly Courier (sent via email on Thursdays)
*
Please select all that apply.
I already receive it. Thanks!
I want it! Please add me to the email list.
I'm not interested in receiving The Weekly Courier email.
Email (only if NEW or if email has changed)
Phone (only if NEW or your number has changed)
Address (only if NEW or address has changed)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Prayer requests:
Do you have any questions or need a pastor to reach out? If so, tell us here:
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following