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Salem Baptist Church
Name
First Name
Last Name
Email
example@example.com
Phone Number
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
This is your:
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1st Time
2nd Time
regular attender
member
Service I'm attending:
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8:45am
11:00am
Age Group
18-25
26-35
36-45
46-55
56-64
65+
I'm interested in :
knowing how to commit my life to Christ
growing my relationship with Christ
info on this church
info on children's ministry
info on youth ministry
membership
baptism
My Decision today:
I'm committing my life to Christ for the first time
I want to be baptized
I'm renewing my commitment to Christ
Prayer Request
Please share my prayer request with:
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Just Pastoral Staff
Church Prayer List
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