Connection Card
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Let Us Know The Following:
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1st Time Guest
Regular Attendee
Member
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1st Time Guest
Regular Attendee
Member
Name:
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Date of Birth:
Address:
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Phone:
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Email:
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This address will receive a confirmation email
I Would Like Information On:
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Baptism
Healing & Deliverance Ministry
Volunteering
Becoming A Member
I would like to speak with a pastor?
Please select all that apply.
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Yes
Let us know if you have a prayer request that we can agree with you on. We pray for all prayer requests received throughout the week.
Date:
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Description
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