Connection Card
Date
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Month
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Day
Year
Date
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
Children's Names and Ages
How did you hear about us?
Please Check all Applicable:
First Time Visitor
Returning Visitor
New to area
Would like a visit
Would like to know more about this church
Change in contact information
Service time attended 9:00 am
Service time attended 10:30 am
Comments/Prayer Requests...
Next Steps:
I will give my life to Jesus
I struggle with loving people how God loves me.
I would like a visit from a staff Pastor
I need God's help in applying today's message to my life.
I would like more information about:
Water Baptism
Holy Spirit Baptism
Church Membership
A place to Serve
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