CCCC New Visitor Form

Clearwater Chinese Christian Church

Registration Form
清水華人基督教會新人名單登記表
Please fill in and submit the form below. Name are required (see Red Asterisk), others are optional. If you have trouble with the form, please contact brother IMIN CHEN at 727-504-6758, drop a message for assistance. Thank you!

請填寫下列表單，姓名為必需填寫欄(紅星標註 )，其他為選項，如果您有任何填寫問題，請致電陳逸民弟兄電話 727-504-6758 留言尋求幫助，謝謝！
Name 姓名*

First Name 名Last Name 姓
Spouse Name 配偶姓名

First Name 名Last Name 姓
Address 住址

Street Address 街名

Street Address Line 2 街名2

City 城市State 州名

Zip Code 郵區碼
Phone Number 電話
E-mail 電子郵件
example@example.com
How do you know our church? 如何知道這教會

Friend 朋友介紹Internet 網路Newspaper 報紙Other
Referral 介紹人
我是 I am presently

Living here 在此定居Studying here 在此求學a visitor 訪客Other
My understanding about Christianity 對基督教的了解

I am a Christian 已是基督徒Would like to know more about becoming Christian 想知道如何成為基督徒Would like to know more about Christianity 想多瞭解基督教Other
Should be Empty:

Clearwater Chinese Christian Church