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2023 Get Connected Request
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12
Questions
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1
Your Name
Mr.
Mrs.
Ms.
Mr.
Mr.
Mrs.
Ms.
Prefix
First Name
Last Name
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2
Age Range
Please select all that apply
High School
College
18-25
26-35
36-45
46-55
56+ Older
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3
Gender
Male
Female
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4
How may we contact you?
Select all that apply
Phone Call
Text Message
Email
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5
Visitor's Email
example@example.com
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6
Phone Number
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7
How did you hear about us?
Personally invited
Word of mouth
Facebook
Instagram
Website
Walk In
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8
If you were personally invited by someone, please tell us who invited You?
First Name
Last Name
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9
Is this your first visit to Metro City Church?
YES
NO
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10
Please select all that apply to your visit today.
Salvation
Rededicated your life to Christ
Want to be Baptised
Want to become a member
Want to learn more about the church
Just want to get connected
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11
Do you have a prayer request that you would like to share? If so, plese share below.
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Small
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Ok
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12
Is it ok for someone to contact you to pray with you about your request?
YES
NO
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13
Your Email - MCC Member's Email
If you are a MCC member your're following up on this person, enter your Email
example@example.com
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14
If you are a MCC member your're following up on this person, please enter your Name
First Name
Last Name
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