Church Connection Form
First Name
Last Name
Address
City
State
Zip Code
Phone Number
Email
I am a Guest
Regular Attender
Member
Change in Contact Info
My age range is K-5th Grade
Junior High
Senior High
College/20-29
30-39
40-49
50-64
65 & Over
How did you hear about us Website
Mailing
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I would like information on Becoming a Christian
Baptistm
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My next steps Meet with a Pastor
Welcome Class
Equipping Classes
Joining a Soul Care Group
Emmanuel Bible Institute
Comments
3E Class Registration - Spring and Summer 2014
Please check the class that you would like to attend The Bible Storyline
Bible Doctrine
Your Walk with God Is a Community Project