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Step 1
CONNECTION CARD
Please fill this form below.
Your Name
your full name
person
Gender
pick one!
Male
Female
Date of Birth
of appointment
date_range
Marital Status
pick one!
Married
Single
Others
your full name
Addresss
room
Apt#
your full name
City/Province/Postal Code
your full name
pick one!
This is a new address
Cell Phone #
your full name
Phone #
your full name
Email
a valid email
email
Are you a first time guest?
pick one!
Yes
No
Names and Age of your children.
more details
0
/
pick one!
MY DECISION TODAY
Select an Option
I am committing my life to Christ
I am renewing my commitment to Christ
I want to be baptized
I would like to talk with a ministry team member'
PRAYER REQUESTS
pick one!
For Prayer Team
Confidential/Pastor
Message
more details
0
/
Submit
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