Digital Connection Card

Your name *

Last name

Email address *

Phone number

Phone type

MobileHomeWorkOther

Address

HomeWorkOther

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Marital status

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Household members

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Visits?

1st Time Guest

2nd Time Guest

Are you a member of a local Church? If yes, where?

Interested in the Following

Becoming a Christian

Talking with a pastor / elder at King's Church

Joining a Home Group

Serving Opportunities

Membership

How can we pray for you?

Any other questions or comments:

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