Connect Card

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Let us get to know you and connect with you.

Name

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Email

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Phone

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Address

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Gender

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Please select all that apply.

Male Female

Date of Birth

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How many times have you visited our church?

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This is my first time here A few times A regular attender

I would like to learn more about: (check all that apply)

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Baptism Volunteering Connect Groups Destination 101 A Better Life Ministries (Faith-Based Recovery Meetings) Other

How did you hear about us?

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Anything else you would like to share?

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