Yes, I’d like to know more...

Our church family is delighted that you have visited us today! We want you to consider yourself among friends who care. So that we may know you better, please take a few moments to fill out this questionnaire and return it to us.

 Again, we express an enthusiastic welcome and we encourage you to visit again soon. May God bless you richly!

*Required Fields

Date*: a.m. p.m.
Mr. / Mrs. / Ms.
Name*:
Address: Apt.
City*:
State/Prov.*: Zip:
Phone:  --
Status: Single / Married
E-Mail:
Children:
Name: Age
Name: Age
Name: Age
Name: Age
Name: Age
Name: Age
Name: Age

Comments:

Please check all that apply:
New in the Area
First Time Visitor
Returning Visitor
Would like a Return E-Mail
Would like to know more about this church
Would like to know more about becoming a Christian

I am connected to the internet via:
Dial Up
Dsl
Cable
WebTV
Satellite
Don't Know

 
 


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