Connection Card

Today's Date

First Name

Last Name

Address 1

APT/Suite

City

State

Zip/Postal Code

Phone Number

Email

Birthdate

Is this your....
1st time
2nd time
3rd time
Member

How did you hear about us?

I would like more information about:
beginning a relationship with Jesus
being baptized
becoming a member of the church

Other

How can we pray for you this week?