Online Connect Card

If you have attended one of our Sunday Celebration Services and did not have a chance to fill out a Connect Card, we would love to hear from you.  You can submit the online connect card information using the form below.

About Me:

 This is my first time visiting. This is my second time visiting. I am a regular attender

Your Name (required)

Your Email (required)

Spouse's Name (if applicable)

Spouse's Email (if applicable)

Primary Phone Number

Secondary Phone Number

Address Line 1

Address Line 2

City

State

Zip Code

Country

Marital Status
 Single Married

Age Group
 13-17 18-24 25-39 40-54 55 and better

Next Steps
 I want to become a follower of Jesus I want to recommit my life to Jesus I want to be baptized

Please send me more information on:

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