新朋友留名卡 Newcomer Contact

CBMC 新朋友留名卡

CBMC Newcomer Contact
姓名Name*

名First Name姓Last Name
日期Date

MonthDayYear
Date
13-1718-2223-3031-4041-5051-6565＋以上
電話Phone *
(626)-570-9044Format: (000) 000-0000.
電郵E-mail *
info@cbmcla.org
女 Female男 Male
單身 Single已婚 Married其他 Others
已受洗信徒 Christian慕道者 Non-Christian其他 Other
粵語 Cantonese國語 Mandarin英語 English
If Yes, what's the approx. year you were baptized?
YesNo
YesNo
YesNo
YesNo
I would like the church to pray for me. This is my prayer request:
介詔你認識我們的是...Is there anyone here at CBMC that you're connected with?

First NameLast Name
Should be Empty:

CBMC 新朋友留名卡