Connection Card

Date:

Name:

Address:

City:

State or Province:

Country:

Zip or Postal Code:

Phone Number:

Email Address:

Preferred Method of Contact: E-mailPhone Call

Children (ages):

I am a:

1st Time Guest2nd time GuestRegular AttendeeMember

I would like to:
Be contacted by pastor/church leader

How can we minister to you?
Comments/Prayer Requests:

WE ARE PRAYING FOR YOU...